NPIMap

Organization Active NPI

San Angelo Hospital, LP

  • Adult Health Clinical Nurse Specialist
  • San Angelo, TX
National Provider Identifier
1265755474
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
Legal business name
SAN ANGELO HOSPITAL, LP
Practice address
3334 Loop 306
San Angelo, TX 76904-5941
Phone
(325) 947-6605
Fax
(325) 947-6607
NPI assigned
Mar 3, 2010
Organization subpart
Yes
Parent organization
SAN ANGELO HOSPITAL, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Ms. Debbie Brewer
Title
Director
Phone
(615) 465-7626

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X
Adult Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SA2200X Primary
Medical-Surgical Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SM0705X

Addresses

Primary practice location

3334 Loop 306
San Angelo, TX 76904-5941

Mailing address

7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-3409

Other names 1

  • San Angelo Community Medical Center Anticoagulation Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
San Angelo Hospital

Locations

3334 Loop 306
San Angelo, TX 76904
Phone (325) 947-6605

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1265755474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "615-465-3409",
            "fax_number": "615-469-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 LOOP 306",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045941",
            "telephone_number": "325-947-6605",
            "fax_number": "325-947-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO HOSPITAL, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN ANGELO HOSPITAL, LP",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Angelo Community Medical Center Anticoagulation Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.