Ellen Callueng Cangco, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

682787 Issued in TX

Practice address

7400 Merton Minter St
San Antonio, TX 78229-4404

Phone

(210) 617-5300

Fax

(210) 949-3884

NPI assigned

Jun 23, 2012

Last updated

Jun 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ellen Callueng Cangco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1340409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340409600000",
    "number": "1275896227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8026 SEMINARIO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505177",
            "telephone_number": "210-522-9779",
            "fax_number": "210-522-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-617-5300",
            "fax_number": "210-949-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGCO",
        "first_name": "ELLEN",
        "middle_name": "CALLUENG",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-23",
        "last_updated": "2012-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "682787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "CANGCO",
            "middle_name": "CALLUENG",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Joyce Candler, FNP
• Candlewood Massage Health and Wellness (Candlewood Health and Wellness)
• Monica Canedo, ANP
• John Frank Canedy
• Maria Concepcion Caballes Canete
• Nicole Cange, BCBA
• Kayleigh Cristina Caniglia, LPC
• Grace Param Canlapan, FNP
• Mary Rose Canlas, DO
• John Edward Cannell, PH.D.

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2012; 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.