Active NPI
Daniela Angeli, PA
- Physician Assistant
- Brown Deer, WI
National Provider Identifier
1073690301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 335
- Practice address
- 9233 N Green Bay Rd
Brown Deer, WI 53209-1103 - Phone
- (414) 270-8150
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 335 | WI | Primary |
Addresses
Primary practice location
9233 N Green Bay Rd
Brown Deer, WI 53209-1103
Mailing address
9233 N Green Bay Rd
Brown Deer, WI 53209-1103
Phone (414) 270-8150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42947900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335 | WI | MD | Occupational Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073690301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9233 N GREEN BAY RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532091103",
"telephone_number": "414-270-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9233 N GREEN BAY RD",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532091103",
"telephone_number": "414-270-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELI",
"first_name": "DANIELA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42947900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brown Deer, WI
- Willie Allen, LCSW
- America's Best Contacts & Eyeglasses
- American Relaxation Counseling Services, LLC
- Haylee Anderson
- Kizzie Anderson
- Annette E Madison (Annette E Madison MSW LCSW LLC)
- Ronald Z Arnold, DPM
- Art of Wellness Chiropractic SC
- Arva LLC
- Ascension Wisconsin Pharmacy, Inc. (Ascension Rx 1115)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.