Hazel Ann Sy Ang-Tipa

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5019217 Issued in NC

Practice address

2109 Valleygate Dr Ste 201
Fayetteville, NC 28304-3571

Phone

(910) 486-8880

Fax

(910) 486-8886

NPI assigned

Apr 13, 2021

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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• RPK Center for Rehab, Spine & Pain

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, NC
  • NPI 1093778110
  Medicare reassignment NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1427638337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 VALLEYGATE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043571",
            "telephone_number": "910-486-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 VALLEYGATE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043571",
            "telephone_number": "910-486-8880",
            "fax_number": "910-486-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANG-TIPA",
        "first_name": "HAZEL ANN",
        "middle_name": "SY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5019217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Faith Andrejco
• Camile Marsh Andrews, DO
• Joshua Zachary Andrews, DPT
• Katelyn Nall Andrews, CCC-SLP
• Anew Dawn Counseling and Consulting, PLLC
• Mariana Angel
• Angela C Ruff DDS PA
• Angela Herring
• Angelic Community & Family Services of Cumberland Count
• Angels Urgent Care, PC

• Gerontology Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.