Individual provider Active NPI

Angela L Sargeant, DO

  • Family Medicine Physician
  • Appleton, WI
National Provider Identifier
1467710350
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
62175-21 Issued in WI
Practice address
3329 N Richmond St
Appleton, WI 54911-1063
Phone
(920) 380-2715
NPI assigned
Apr 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 62175-21 WI Primary

Addresses

Primary practice location

3329 N Richmond St
Appleton, WI 54911-1063

Mailing address

3329 N Richmond St
Appleton, WI 54911-1063
Phone (920) 380-2715

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.sargeant.1@10114.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151113001129 WI Practitioner - Family Practice 6901116318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
62175-21WIMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: angela.sargeant.1@10114.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1467710350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111063",
            "telephone_number": "920-380-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111063",
            "telephone_number": "920-380-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGEANT",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "62175-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.sargeant.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3329 N Richmond St",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549111063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.