Angela Sue Hartman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000291A Issued in IN

Practice address

3103 E State Blvd
Fort Wayne, IN 46805-4738

Phone

(260) 373-9300

Fax

(260) 373-9301

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124133582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 FOX MILL RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359354",
            "telephone_number": "260-492-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054738",
            "telephone_number": "260-373-9300",
            "fax_number": "260-373-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000291A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlona Kay Harting, D.O.
• Michael Anthony Hartle, D.C.
• Holly Mae Hartley, MS, LAT, ATC
• Linda L Hartley, MSW, LCSW
• Alyssa Renee Hartman
• Brittany L Hartman
• David Hartman, MD
• Jacie Nicole Hartman, RBT
• Melissa Jean Hartman, R.PH.
• Nicole A Hartman, NP-C

• Family Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Family Nurse Practitioner in Indiana

• 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.

Verify at the official NPI Registry.