Organization Active NPI

Angella Burton Holdings LLC

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1629822606
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ANGELLA BURTON HOLDINGS LLC
Practice address
11704 Decesaris Blvd
Bowie, MD 20721-2220
Phone
(202) 215-2696
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Angella Burton, FNP
Title
Owner
Phone
(301) 913-4180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

11704 Decesaris Blvd
Bowie, MD 20721-2220

Mailing address

11704 Decesaris Blvd
Bowie, MD 20721-2220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1629822606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11704 DECESARIS BLVD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 DECESARIS BLVD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212220",
            "telephone_number": "202-215-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELLA BURTON HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-913-4180",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.