Individual provider Active NPI

Jeffrey Angell, NP-C

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1497002877
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121947 Issued in TX
Practice address
23330 Hwy 59 N Ste 300
Kingwood, TX 77339-4471
Phone
(281) 359-3223
Fax
(281) 359-2089
NPI assigned
Aug 5, 2012
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 AP121947 TX Primary

Addresses

Primary practice location

23330 Hwy 59 N Ste 300
Kingwood, TX 77339-4471

Mailing address

23330 Hwy 59 N Ste 300
Kingwood, TX 77339-4471
Phone (281) 359-3223

Other practice location 1

1708 Elmen St
Houston, TX 77019-5702
Phone (281) 686-8004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.angell.1@30157.direct.athenahealth.com Direct

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
I20140426000014 TX Practitioner - Nurse Practitioner 4981837051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP121947TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rodom Medical Consulting PA CurrentSince Feb 4, 2014 Accepting new patients
Six Palms at Damoor Estates, LLC Past Accepting new patients
Educare Community Living Corporation - Gulf Coast Past Accepting new patients
Behavioral & Developmental Health Services PA Past Accepting new patients

Locations

3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100

1120 Cypress Station Dr
Houston, TX 77090
Phone (281) 893-7200

Interoperability endpoints

  • Direct secure messaging: jeffrey.angell.1@30157.direct.athenahealth.com

Organizations & group practices 4

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": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1497002877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23330 HWY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 HWY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Elmen St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770195702",
            "country_code": "US",
            "telephone_number": "281-686-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "JEFFREY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-05",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.angell.1@30157.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23330 Hwy 59 N Ste 300",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773394471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.