Angela W. Winbush, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11003085 Issued in FL

Practice address

10808 Fall Creek Dr W
Jacksonville, FL 32222-1392

Phone

(904) 210-6127

NPI assigned

Jun 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Angela Dione Winbush Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1376104257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 FALL CREEK DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322221392",
            "telephone_number": "904-210-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 FALL CREEK DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322221392",
            "telephone_number": "904-210-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBUSH",
        "first_name": "ANGELA",
        "middle_name": "W.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "3143852",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WINBUSH",
            "middle_name": "DIONE",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alacia Brittania Wims
• Chamara Wims, NP
• Myo S Win, MD
• Wanda Jean Winarski, NP-C
• Britteny Winburn
• Chiel Wind, M.D
• Tammy L Wind, APRN
• Erick Carroll Windom, BA
• Brian Eliott Windsor, MPT
• Bradley James Wine, RN

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.