Individual provider Active NPI

Leshaun Angmor, F.N.P

  • Family Nurse Practitioner
  • Troy, NY
National Provider Identifier
1063874550
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340500-1 Issued in NY
Practice address
315 2ND Ave
Suite 2
Troy, NY 12182-3237
Phone
(518) 235-8034
NPI assigned
Mar 23, 2016
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340500-1 NY Primary

Addresses

Primary practice location

315 2ND Ave
Suite 2
Troy, NY 12182-3237

Mailing address

2 Mountain View Ter
Apt 7
Latham, NY 12110-2049
Phone (518) 491-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615000888 NY Practitioner - Nurse Practitioner 8729379144 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F340500-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Apr 6, 2016 Accepting new patients
Lansingburgh Family Practice, PC CurrentSince Sep 9, 2016 Accepting new patients

Locations

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

315 2nd Ave
Ste 2
Troy, NY 12182
Phone (518) 235-8034

595 5th Ave
Troy, NY 12182
Phone (518) 235-8034

Interoperability endpoints

  • FHIR API: https://fhir.medent.com/fhir/R4/gwT5767X

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1063874550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOUNTAIN VIEW TER",
            "address_2": "APT 7",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102049",
            "telephone_number": "518-491-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 2ND AVE",
            "address_2": "SUITE 2",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121823237",
            "telephone_number": "518-235-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGMOR",
        "first_name": "LESHAUN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340500-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.