Angela Phelps

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

5301 Cord Ave
Jacksonville, FL 32209-3171

Phone

(904) 763-9977

NPI assigned

Jun 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1548828866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 CORD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322093171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 CORD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322093171",
            "telephone_number": "904-763-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-01",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Quenda Mosby Pharr
• Helen Louise Elizabeth Phelan
• Paula R. Phelan, A.P.R.N., C.N.M.
• Timothy Michael Phelan, M.D.
• Juliette Ristaline Phelps Maxwell I, M.D.
• Benjamin Matthew Phelps, MD
• Diana Marie Phelps, MD
• Jordan Micah Phelps, DO
• Julie Phelps
• Kenneth Richard Phelps, PA-C

• Home Health Aide in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; 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.