Angela Ivy Gustus

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

11155 Dolfield Blvd Ste 110
Owings Mills, MD 21117-3289

Phone

(410) 517-2624

NPI assigned

May 4, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Cmag Health Services, LLC

  • In Home Supportive Care Agency
  • Owings Mills, MD
  • NPI 1891518692
  NPD Authorized official

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1609497320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DOLFIELD BLVD STE 110",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173289",
            "telephone_number": "410-517-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DOLFIELD BLVD STE 110",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173289",
            "telephone_number": "410-517-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTUS",
        "first_name": "ANGELA",
        "middle_name": "IVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Sullivan Grossman, M.ED/CCC-SLP
• Laura Melton Grubb, PHD, BCBA-D, LBA
• Richard Alan Gruen, M.D.
• Guardian Community Rehabilitation Services
• Rachel Ann Guididas
• Stacey Hachenberg, L.AC.
• Hafeez a Syed
• Elizabeth Hailu
• Atara Hakkakian
• David Halbstein

• Phlebotomy Technician in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Phlebotomy Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.