Individual provider Active NPI

Angelina I. Londono, PH.D., NBC-HWC

  • Health & Wellness Coach
  • Pikesville, MD
National Provider Identifier
1316694938
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
A-3489111 Issued in TX
Practice address
201 Milford Mill Rd Ste 102
Pikesville, MD 21208-5902
Phone
(443) 898-6562
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X TX
Health & Wellness Coach 171400000X A-3489111 TX Primary

Addresses

Primary practice location

201 Milford Mill Rd Ste 102
Pikesville, MD 21208-5902

Mailing address

3041 Westforest Dr
Dallas, TX 75229-2449
Phone (205) 276-6359

Other practice location 1

151 Rantoul St
Beverly, MA 01915-7500
Phone (205) 276-6359

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A-3489111TXMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Amani Nicol Wellness, LLC Health Educator CurrentSince Dec 3, 2023 Accepting new patients

Locations

201 Milford Mill Rd
Ste 102
Pikesville, MD 21208
Phone (443) 449-0866

Organizations & group practices 2

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1316694938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 WESTFOREST DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292449",
            "telephone_number": "205-276-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MILFORD MILL RD STE 102",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085902",
            "telephone_number": "443-898-6562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Rantoul St",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019157500",
            "country_code": "US",
            "telephone_number": "205-276-6359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDONO",
        "first_name": "ANGELINA",
        "middle_name": "I.",
        "credential": "PH.D., NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "A-3489111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.