Individual provider Active NPI

Angelia Kay Cardwell, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1275614851
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110282 Issued in NE
Practice address
4720 Randolph Street
Lincoln, NE 68510
Phone
(402) 486-8537
Fax
(402) 486-8536
NPI assigned
Oct 18, 2006
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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 110282 NE
Family Nurse Practitioner 363LF0000X 110282 NE Primary

Addresses

Primary practice location

4720 Randolph Street
Lincoln, NE 68510

Mailing address

4720 Randolph Street
Lincoln, NE 68510
Phone (402) 486-8537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20161101002138 NE Order and Referring Only - Nurse Practitioner 7911908066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110282NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates, P.C. , Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1275614851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 RANDOLPH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-486-8537",
            "fax_number": "402-486-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 RANDOLPH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68510",
            "telephone_number": "402-486-8537",
            "fax_number": "402-486-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "ANGELIA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.