Angelique Lynette Vailes

Primary specialty

SpecialistTaxonomy code 174400000X

License

118206 Issued in MD

Practice address

3510 65TH Ave Unit 10F
Hyattsville, MD 20784-2464

Phone

(240) 375-1670

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Av Healing Hands, LLC

  • Durable Medical Equipment & Medical Supplies
  • College Park, MD
  • NPI 1104415108
  NPD Authorized official
• Av Healing Hands, LLC

  • Durable Medical Equipment & Medical Supplies
  • College Park, MD
  • NPI 1679162671
  NPD Authorized official

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1124593686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 65TH AVE UNIT 10F",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842464",
            "telephone_number": "240-375-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 65TH AVE UNIT 10F",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842464",
            "telephone_number": "240-375-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILES",
        "first_name": "ANGELIQUE",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "118206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikenna Uzomah, CAA
• Betty Nkechi Uzomba
• Vitus Uzowuru
• Shalini Kumari Vaid, MD
• Vivek C Vaid, M.D.
• Natalie Valiente
• Vantage Professional Services
• Jean Mary Varghese
• Ena Aracely Velasquez Larios
• Roxana De Jesus Ventira

• Specialist in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.