Individual provider Active NPI

Angelina Tapang, APRN

  • Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1215647359
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-83358-062 Issued in KS
Practice address
4701 Bauer Farm Dr Ste B
Lawrence, KS 66049-8503
Phone
(785) 838-5255
NPI assigned
Nov 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022046623 MO
Nurse Practitioner 363L00000X 53-83358-062 KS Primary

Addresses

Primary practice location

4701 Bauer Farm Dr Ste B
Lawrence, KS 66049-8503

Mailing address

2330 E Meyer Blvd Ste 202
Kansas City, MO 64132-1132
Phone (816) 276-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605001543 KS Practitioner - Nurse Practitioner 8325419435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1971 Tennessee Ave N
Parsons, TN 38363-5049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-83358-062KSMDNurse Practitioner
2022046623MOMDNurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1215647359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E MEYER BLVD STE 202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321132",
            "telephone_number": "816-276-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BAUER FARM DR STE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660498503",
            "telephone_number": "785-838-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPANG",
        "first_name": "ANGELINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2022046623",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-83358-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.