Individual provider Active NPI

Angelia Colwell Berkowitz, RN, MSN, FNP

  • Family Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1386870814
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
619567 Issued in TX
Practice address
12705 Toepperwein Rd
Live Oak, TX 78233-3257
Phone
(210) 599-0922
Fax
(210) 616-9901
NPI assigned
Jun 10, 2009
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 619567 TX Primary

Addresses

Primary practice location

12705 Toepperwein Rd
Live Oak, TX 78233-3257

Mailing address

PO Box 65057
San Antonio, TX 78265-5057
Phone (210) 299-8000

Other identifiers 1

IdentifierTypeStateIssuer
P00950828OtherTXRR MEDICARE

Other names 1

  • Angelia Dawn Colwell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091216000244 TX Practitioner - Nurse Practitioner 0244370666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology San AntonioGroup PAC ID 7315262730, 5 clinicians

Practice addresses (Care Compare)

12705 Toepperwein Rd
Live Oak, TX 78233-3257
Phone (210) 599-0922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology San Antonio CurrentSince Oct 15, 2014 Accepting new patients

Locations

12705 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 599-0922

19288 Stone Oak Pkwy
#B
San Antonio, TX 78258
Phone (210) 490-2707

8019 S New Braunfels
Ste 101
San Antonio, TX 78235
Phone (210) 922-5556

9102 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 247-0888

9102 Floyd Curl Dr
Ste A
San Antonio, TX 78240
Phone (210) 247-0888

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1386870814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65057",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782655057",
            "telephone_number": "210-299-8000",
            "fax_number": "210-616-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333257",
            "telephone_number": "210-599-0922",
            "fax_number": "210-616-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "ANGELIA",
        "middle_name": "COLWELL",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "619567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00950828",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIA",
            "last_name": "COLWELL",
            "middle_name": "DAWN",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.