Individual provider Active NPI

Angela J Downum, LVN

  • Licensed Vocational Nurse
  • Kerrville, TX
National Provider Identifier
1396922738
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
158866 Issued in TX
Practice address
819 Water St Ste 300
Kerrville, TX 78028-5330
Phone
(830) 258-5430
Fax
(830) 792-5771
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 158866 TX Primary

Addresses

Primary practice location

819 Water St Ste 300
Kerrville, TX 78028-5330

Mailing address

324 Crystal City Hwy
Uvalde, TX 78801-6124
Phone (830) 278-1243

Other identifiers 1

IdentifierTypeStateIssuer
158866OtherTXLVN LICENSE

Other names 1

  • Angela Ahern Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
158866TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community MHMR Center Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1396922738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CRYSTAL CITY HWY",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016124",
            "telephone_number": "830-278-1243",
            "fax_number": "830-278-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WATER ST STE 300",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285330",
            "telephone_number": "830-258-5430",
            "fax_number": "830-792-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNUM",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "158866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN LICENSE",
            "identifier": "158866",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "AHERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.