Kelly Michole Anglin-Poindexter, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125478 Issued in TX

Practice address

1500 Main St
South Houston, TX 77587-4252

Phone

(713) 946-7461

Fax

(713) 946-7426

NPI assigned

Jan 6, 2006

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

Other names 1

• Kelly Nichole Anglin Other name

Medicare fee-for-service enrollment

Enrolled in TX, IL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Memorial Hermann Community Benefit Corporation

  • Primary Care Clinic/Center
  • South Houston, TX
  • NPI 1275817504
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1275511537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MAIN ST",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874252",
            "telephone_number": "713-946-7461",
            "fax_number": "713-946-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MAIN ST",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874252",
            "telephone_number": "713-946-7461",
            "fax_number": "713-946-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLIN-POINDEXTER",
        "first_name": "KELLY",
        "middle_name": "MICHOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ANGLIN",
            "middle_name": "NICHOLE",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adventure Family Dentistry, PLLC
• Maira Argueta
• Candle Carmichael, ATC, LAT
• Joseph George Cavelli, DC
• Centra Soho PLLC
• Centra Two Dental PLLC

• Family Nurse Practitioner in South Houston, TX
• Providers in South Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.