Angela Jo Occidental, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.020877 Issued in OH

Practice address

22442 State Route 73
West Portsmouth, OH 45663-6365

Phone

(740) 858-6656

NPI assigned

Sep 7, 2017

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Somc Home Health Services Home health agency, Portsmouth, OH, CCN 367087
• Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.occidental.1@16612.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/16612/brand/1/csg/1/fhir/r4

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.

• James H Duncan DO Inc

  • Family Medicine Physician
  • West Portsmouth, OH
  • NPI 1295047348
  Medicare reassignment NPD
• Monarch Health and Recovery LLC

  • Family Medicine Physician
  • West Portsmouth, OH
  • NPI 1548782816
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  Care Compare affiliation
• Southern Ohio Medical Center

  • Home Health Agency
  • Portsmouth, OH
  • NPI 1790716553
  Care Compare affiliation

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306364500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22442 STATE ROUTE 73",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456636365",
            "telephone_number": "740-858-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22442 STATE ROUTE 73",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456636365",
            "telephone_number": "740-858-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22442 State Route 73",
            "address_purpose": "LOCATION",
            "city": "West Portsmouth",
            "state": "OH",
            "postal_code": "456636365",
            "country_code": "US",
            "telephone_number": "740-858-6656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "OH",
            "postal_code": "456401952",
            "country_code": "US",
            "telephone_number": "740-418-2841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "OH",
            "postal_code": "456401952",
            "country_code": "US",
            "telephone_number": "740-418-2841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCCIDENTAL",
        "first_name": "ANGELA",
        "middle_name": "JO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mosley, LPN
• Steven Mowery
• Patty Ann Myers, CDCA, MA
• Tommy Irvin Neumann II, PHARM.D.
• Anne E. Nickerson, L.I.S.W.
• Ohio Home Care Program
• James R Osman, CDCA
• Tammy Penix
• Keri Piatt
• Misty Brooke Pierce

• Family Nurse Practitioner in West Portsmouth, OH
• Providers in West Portsmouth, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.