Individual provider Active NPI

Angela Roxanne Shilling, CST/SFA

  • Surgical Technologist
  • Round Rock, TX
National Provider Identifier
1275723116
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
072417
Practice address
1333 Irishmoss TRL
Round Rock, TX 78665-3885
Phone
(512) 912-6677
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 072417 Primary

Addresses

Primary practice location

1333 Irishmoss TRL
Round Rock, TX 78665-3885

Mailing address

1333 Irishmoss TRL
Round Rock, TX 78665-3885
Phone (512) 912-6677

Other names 1

  • Ms. Angela Roxanne Brown Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1275723116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 IRISHMOSS TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653885",
            "telephone_number": "512-912-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 IRISHMOSS TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653885",
            "telephone_number": "512-912-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLING",
        "first_name": "ANGELA",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "CST/SFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": "072417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BROWN",
            "middle_name": "ROXANNE",
            "prefix": "MS.",
            "credential": "CST/SFA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.