Angela Kay Prince, DME PROVIDER

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

CFM03106 Issued in TX

Practice address

500 E Round Grove Rd Ste 301
Lewisville, TX 75067-8380

Phone

(214) 488-8885

Fax

(972) 316-8885

NPI assigned

Oct 13, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Angela Kay Prince Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Hair Solutions

  • Durable Medical Equipment & Medical Supplies
  • Lewisville, TX
  • NPI 1851880983
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1043721319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ROUND GROVE RD STE 301",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678380",
            "telephone_number": "214-488-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ROUND GROVE RD STE 301",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678380",
            "telephone_number": "214-488-8885",
            "fax_number": "972-316-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "credential": "DME PROVIDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "TX",
            "license": "CFM03106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PRINCE",
            "middle_name": "KAY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Premiere Neuromonitoring Inc
• Premise Health of Texas Medical PA (Living Well Massage Center)
• Katrina Monique Prentice, PHLEBOTOMIST
• Kevin Lee Prentice, DC
• Primera Salus LLC
• Priority One Logistics,LLC
• Progressive Life
• Prohealth House Calls Services Inc
• Prohealth House Calls Services Inc.
• Prohealth Mobility LLC

• Mastectomy Fitter in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Mastectomy Fitter in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.