Individual provider Active NPI

Angela K Dugo-Munizzi, FNP-BC

  • Family Nurse Practitioner
  • Lansing, IL
National Provider Identifier
1619426822
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.000720 Issued in IL
Practice address
18225 Torrence Ave
Lansing, IL 60438-2729
Phone
(708) 474-1061
NPI assigned
Sep 28, 2016
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.000720 IL Primary
Registered Nurse 163W00000X 041.376211 IL

Addresses

Primary practice location

18225 Torrence Ave
Lansing, IL 60438-2729

Mailing address

10646 S Ridgeway Ave
Chicago, IL 60655-3804
Phone (630) 842-1861

Other practice location 1

62 Orland Square Dr Ste 3
Orland Park, IL 60462-6561
Phone (630) 842-1861

Other names 1

  • Ms. Angela K. Dugo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.376211ILMDRegistered Nurse
277.000720ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1619426822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10646 S RIDGEWAY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553804",
            "telephone_number": "630-842-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382729",
            "telephone_number": "708-474-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Orland Square Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604626561",
            "country_code": "US",
            "telephone_number": "630-842-1861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGO-MUNIZZI",
        "first_name": "ANGELA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000720",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.376211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DUGO",
            "middle_name": "K.",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.