Rissa Elle De Angelo, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2024105748 Issued in WA

Practice address

270 NE Santa Maria LN
Belfair, WA 98528-9259

Phone

(405) 623-6398

NPI assigned

Jul 19, 2023

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rissa Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1093495517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 NE SANTA MARIA LN",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985289259",
            "telephone_number": "405-623-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 NE SANTA MARIA LN",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985289259",
            "telephone_number": "405-623-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ANGELO",
        "first_name": "RISSA",
        "middle_name": "ELLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "2024105748",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60460408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RISSA",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chad Smart DDS and Vincent O Kokich Jr DMD MSD PLLC
• Annemarie Correa, ARNP
• Daniel R Byrne DMD PS
• Asia Davis, PHARMD
• Justin De Angel
• Annelies De Wolf, DPT, MPH
• Thomas J Degan, MD
• Amanda Kay Donahue, MS, RD, CD
• Donald R Lepere DDS PS
• Elizabeth Grace Donals

• Nurse Practitioner in Belfair, WA
• Providers in Belfair, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.