Angelique Mahfood, R.N.

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

117357 Issued in MO

Practice address

520 S Elm Ave
Webster Groves, MO 63119-3845

Phone

(314) 962-3464

NPI assigned

Apr 13, 2009

Last updated

Apr 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1336382969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 SUSON WOODS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284529",
            "telephone_number": "314-962-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ELM AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193845",
            "telephone_number": "314-962-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHFOOD",
        "first_name": "ANGELIQUE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MO",
            "license": "117357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Senior Services (Lutheran Convalescent Home)
• Lux Chiropractic & Health LLC
• Brett Joseph Lux, DC
• M. Joseph Olk, DDS, PC
• Rachele Maheu, MSW, LCSW
• Katherine Mannebach, LCSW
• Caitlin Mansdoerfer
• Peyton K Manwarring, MED.,LPC,NCC
• Jessica Markowski, LCSW
• Michelle Denise Marshall, LPC

• Ambulatory Care Registered Nurse in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Ambulatory Care Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.