Angela Schilling-Koons, NP, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ANGELA SCHILLING-KOONS, NP, LLC

Practice address

203 S Candy LN
BLDG 13Ab
Cottonwood, AZ 86326-4120

Phone

(928) 649-1389

Fax

(928) 634-5314

NPI assigned

Dec 29, 2014

Last updated

Jun 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Angela D. Schilling-Koons, N.P.

Title

Owner

Phone

(928) 202-7882

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1487042420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN",
            "address_2": "BLDG 13AB",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "928-649-1389",
            "fax_number": "928-634-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN",
            "address_2": "BLDG 13AB",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "928-649-1389",
            "fax_number": "928-634-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA SCHILLING-KOONS, NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "SCHILLING-KOONS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-202-7882",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026196",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.