Organization Active NPI

Kelly Angell

  • Nursing Care Agency
  • Truxton, NY
National Provider Identifier
1093047425
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
294888-1 Issued in NY
Legal business name
KELLY ANGELL
Practice address
5239 Randall Hill Rd
Truxton, NY 13158-4208
Phone
(160) 784-2641
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Kelly G Angell
Title
LPN
Phone
(607) 842-6419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 294888-1 NY Primary

Addresses

Primary practice location

5239 Randall Hill Rd
Truxton, NY 13158-4208

Mailing address

5239 Randall Hill Rd
Truxton, NY 13158
Phone (160) 784-2641

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1093047425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 RANDALL HILL RD",
            "city": "TRUXTON",
            "state": "NY",
            "postal_code": "13158",
            "telephone_number": "160-784-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 RANDALL HILL RD",
            "city": "TRUXTON",
            "state": "NY",
            "postal_code": "131584208",
            "telephone_number": "160-784-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ANGELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "607-842-6419"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "294888-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truxton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.