Davong Soumaly Rattanasavanh

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1214319 Issued in TX

Practice address

4450 Sunset Dr
San Angelo, TX 76901-5611

Phone

(325) 747-2277

Fax

(325) 747-7815

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1215831532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015611",
            "telephone_number": "325-747-2277",
            "fax_number": "325-747-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015611",
            "telephone_number": "325-747-2277",
            "fax_number": "325-747-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTANASAVANH",
        "first_name": "DAVONG",
        "middle_name": "SOUMALY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1214319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoriano Gabriel Ramirez
• Regina Ramon, SLP
• Laura Rangel
• Brian David Rappe, DO
• Sean Michael Rathburn, D.D.S
• Toby Redden, CNP
• Stuart R Redding, PT, DPT
• Carolyn B Reed, PHD
• Chad Harris Reel, D.M.D.
• Harold Raymond Reel Jr., DDS

• Acute Care Nurse Practitioner in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.