Individual provider Active NPI

Angelita Nwaokelemeh

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1326372731
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
773419 Issued in TX
Practice address
7120 McCart Ave
Fort Worth, TX 76133
Phone
(817) 294-5624
Fax
(817) 294-4711
NPI assigned
Oct 1, 2009
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 773419 TX Primary

Addresses

Primary practice location

7120 McCart Ave
Fort Worth, TX 76133

Mailing address

7120 McCart Ave
Fort Worth, TX 76133-7298
Phone (817) 294-5624

Other identifiers 1

IdentifierTypeStateIssuer
773419OtherTX1326372731

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL McCartmedical@aol.com

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
773419TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ralph a Brooks, M.D. LLC PastSince Aug 5, 2019 Accepting new patients

Organizations & group practices 1

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1326372731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337298",
            "telephone_number": "817-294-5624",
            "fax_number": "817-294-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "817-294-5624",
            "fax_number": "817-294-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOKELEMEH",
        "first_name": "ANGELITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "773419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1326372731",
            "identifier": "773419",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "McCartmedical@aol.com",
            "affiliation": "N",
            "address_1": "7120 McCart Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.