Individual provider Active NPI

Angela D Nowell, ARNP

  • Pediatric Nurse Practitioner
  • Lancaster, TX
National Provider Identifier
1639443146
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP3178092 Issued in FL
Practice address
2700 West Pleasant Run Road
Suite 300
Lancaster, TX 75146
Phone
(469) 857-5439
Fax
(469) 857-5444
NPI assigned
Mar 1, 2012
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP3178092 FL Primary

Addresses

Primary practice location

2700 West Pleasant Run Road
Suite 300
Lancaster, TX 75146

Mailing address

2700 West Pleasant Run Road
Suite 300
Lancaster, TX 75146
Phone (469) 857-5439

Other identifiers 1

IdentifierTypeStateIssuer
3692956MedicaidTX

Other names 1

  • Angela D Nowell Blanchard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240531000541 TX Practitioner - Nurse Practitioner 5597107805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3178092FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Physician Services of South Texas CurrentSince Jun 1, 2024 Accepting new patients
Children's Physician Services of South Texas CurrentSince Jun 1, 2024 Accepting new patients
Little Angels Healthcare Center PLLC Pediatrics Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17019/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1639443146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WEST PLEASANT RUN ROAD",
            "address_2": "SUITE 300",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "75146",
            "telephone_number": "469-857-5439",
            "fax_number": "469-857-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WEST PLEASANT RUN ROAD",
            "address_2": "SUITE 300",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "75146",
            "telephone_number": "469-857-5439",
            "fax_number": "469-857-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWELL",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP3178092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3692956",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NOWELL BLANCHARD",
            "middle_name": "D",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, TX

Sources for this page

Verify at the official NPI Registry.