Angelica Chapman Gandhakwala, CPNP PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN275795 Issued in GA

Practice address

116 Stamford Ave
Peachtree City, GA 30269-6536

Phone

(205) 470-2119

NPI assigned

Mar 1, 2022

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

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: angelica.gandhakwala.1@8042.direct.athenahealth.com

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1215683115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 STAMFORD AVE",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696536",
            "telephone_number": "205-470-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 STAMFORD AVE",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696536",
            "telephone_number": "205-470-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHAKWALA",
        "first_name": "ANGELICA",
        "middle_name": "CHAPMAN",
        "credential": "CPNP PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN275795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Nurse Practitioner in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.