Active NPI
Angela Marie McDonald, FNP
- Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1104886936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 243773
- Practice address
- 6104 Avenue Q S. Drive
Lubbock, TX 79412 - Phone
- (806) 786-2346
- Fax
- (806) 472-3432
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 243773 | TX | Primary |
Addresses
Primary practice location
6104 Avenue Q S. Drive
Lubbock, TX 79412
Mailing address
3407 60TH Street
Lubbock, TX 79413
Phone (806) 786-2346
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1104886936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 60TH STREET",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79413",
"telephone_number": "806-786-2346",
"fax_number": "806-472-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6104 AVENUE Q S. DRIVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79412",
"telephone_number": "806-786-2346",
"fax_number": "806-472-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "243773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.