Angela Nicole Thorn, CPNP-PN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP05870 Issued in LA

Practice address

609 W Court St Ste B
Winnfield, LA 71483-2686

Phone

(318) 209-4646

Fax

(318) 209-4649

NPI assigned

Sep 16, 2009

Last updated

Apr 26, 2021By 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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: angela.thorn.1@22920.direct.athenahealth.com

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.

• CLHG-Winn, LLC

  dba Winn Parish Medical Center Physician Practice

  • Family Medicine Physician
  • Winnfield, LA
  • NPI 1629391628
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1336472711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W COURT ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714832681",
            "telephone_number": "318-623-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W COURT ST STE B",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714832686",
            "telephone_number": "318-209-4646",
            "fax_number": "318-209-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP05870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800139",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18001139",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athorn@ahmgt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "609 W Court St",
            "city": "Winnfield",
            "state": "LA",
            "country_code": "US",
            "postal_code": "714832681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Vance Shelton, M.D.
• Gena T Spangler, DDS
• Specialty Hospital of Winnfield, Inc. (Specialty Hospital of Winnfield)
• Kaitlin Paige Stevens, COUNSELOR
• Faisal Thaljeh, MD
• Trinity Chiropractic Incorporated
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0244)
• Wal-Mart Stores Louisiana, LLC (Vision Center 30-0244)
• James R Walker, O.D.
• Phillip David Westbrook, CRNA

• Pediatric Nurse Practitioner in Winnfield, LA
• Providers in Winnfield, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.