Active NPI
Jeffrey Angell, NP-C
- Family Nurse Practitioner
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP121947
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP121947 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodom Medical Consulting PA | Current | 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
- 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.
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- NPI 1558380790
-
dba Kay R. Lewis M.D. & Associates
- Professional Counselor
- Rosharon, TX
- NPI 1588198741
-
- Intellectual Disabilities Intermediate Care Facility
- Friendswood, TX
- NPI 1194846865
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.