NPIMap

Individual provider Active NPI

Angela Yvette Mosley-Nunnery, M.D.

  • Adolescent Medicine (Family Medicine) Physician
  • Kingwood, TX
National Provider Identifier
1326155219
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
H 0661 Issued in TX
Practice address
22710 Professional Dr.
Ste#202
Kingwood, TX 77339
Phone
(281) 359-7969
Fax
(281) 359-7971
NPI assigned
Aug 24, 2006
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X H 0661 TX Primary

Addresses

Primary practice location

22710 Professional Dr.
Ste#202
Kingwood, TX 77339

Mailing address

22710 Professional Dr.
Ste#202
Kingwood, TX 77339
Phone (281) 312-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000631 TX Practitioner - Family Practice 6103967948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

17198 St Lukes Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

17350 St Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone (281) 444-3278

20207 Chasewood Park Dr
Houston, TX 77070-1442

22698 Professional Dr
Suite 110
Kingwood, TX 77339-5705
Phone (281) 357-5515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H 0661TXMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke's Medical Group CurrentSince Nov 1, 2017 Accepting new patients
Millennium Physicians Association, PLLC Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

22698 Professional Dr
Ste 100A
Kingwood, TX 77339

22710 Professional Dr
Kingwood, TX 77339
Phone (281) 298-2847

22710 Professional Dr
Ste 202
Kingwood, TX 77339
Phone (281) 312-8521

120 Flag Lake Dr
Ste 1
Lake Jackson, TX 77566
Phone (979) 299-6900

9201 Pinecroft Dr
Ste 230
Shenandoah, TX 77380
Phone (281) 419-3820

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

506 Graham Dr
Ste 230
Tomball, TX 77375
Phone (281) 205-7522

Interoperability endpoints

  • Direct secure messaging: amosleynunnery72773@direct.stlukeshealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1326155219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR.",
            "address_2": "STE#202",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-312-8521",
            "fax_number": "281-359-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR.",
            "address_2": "STE#202",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-7969",
            "fax_number": "281-359-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY-NUNNERY",
        "first_name": "ANGELA",
        "middle_name": "YVETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "H 0661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.