Individual provider Active NPI

Natasha A Cangelosi, FNP-C

  • Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1083465629
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1170839 Issued in TX
Practice address
4505 Kingwood Dr Ste 185
Kingwood, TX 77345-2618
Phone
(281) 747-5534
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1170839 TX Primary

Addresses

Primary practice location

4505 Kingwood Dr Ste 185
Kingwood, TX 77345-2618

Mailing address

27131 Fulshear Bend Dr
Fulshear, TX 77441-1231

Other practice location 1

1930 Pearland Pkwy Ste 154
Pearland, TX 77581-5379
Phone (281) 816-5503

Other names 1

  • Natasha A Minor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Dermatology, PLLCGroup PAC ID 8729345285, 26 clinicians

Practice addresses (Care Compare)

1930 Pearland Pkwy
Suite 154
Pearland, TX 77581-5379
Phone (281) 816-5503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Derm Services, PLLC CurrentSince Dec 22, 2024 Accepting new patients
Elite Dermatology, PLLC CurrentSince Oct 19, 2024 Accepting new patients
Hughston Clinic, P.C. Past Accepting new patients

Locations

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

20326 State Highway 249
Ste 400
Houston, TX 77070
Phone (281) 501-5599

4505 Kingwood Dr
Ste 185
Kingwood, TX 77345
Phone (281) 747-5533

1930 Pearland Pkwy
Ste 154
Pearland, TX 77581
Phone (281) 816-5503

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1083465629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 FULSHEAR BEND DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 KINGWOOD DR STE 185",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452618",
            "telephone_number": "281-747-5534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Pearland Pkwy Ste 154",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775815379",
            "country_code": "US",
            "telephone_number": "281-816-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANGELOSI",
        "first_name": "NATASHA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1170839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "MINOR",
            "middle_name": "A",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.