Angela Laurice Gitman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2016025006 Issued in MO

Practice address

13655 Riverport Dr
Maryland Heights, MO 63043-4812

Phone

(314) 704-4937

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Nardoni Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dutchtown Medical Arts LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1053574228
  NPD (past)

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1558714535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR FL 5",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812",
            "telephone_number": "314-704-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812",
            "telephone_number": "314-704-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITMAN",
        "first_name": "ANGELA",
        "middle_name": "LAURICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016025006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.optum.com/",
            "affiliation": "N",
            "address_1": "13655 Riverport Dr",
            "city": "Maryland Heights",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630434812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NARDONI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Galina Rivkin Inc
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• Alyssa Gaylord, RD, CSP, LD
• Geriatric Practitioner Services, LLC
• Allison Anne Gill, M.S. CCC-SLP
• Halsey Glantz, PT, DPT, GCS
• Beth Marilyn Glenn, APRN
• Goldstar Laboratories Missouri LLC
• Mariaimee Gonzalez, PLPC
• Christine R Gottman, A.N.P.

• Family Nurse Practitioner in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.