Individual provider Active NPI

Angela Dubbs, DNP-FNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1649800699
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1114211 Issued in TX
Practice address
8226 Douglas Ave Ste 104
Dallas, TX 75225-5906
Phone
(808) 518-0007
NPI assigned
Jan 17, 2020
Last updated
Jun 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95646 HI
Nurse Practitioner 363L00000X 1114211 TX Primary

Addresses

Primary practice location

8226 Douglas Ave Ste 104
Dallas, TX 75225-5906

Mailing address

1401 Elm St Apt 4004
Dallas, TX 75202-2925
Phone (808) 518-0007

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95646HIMDRegistered Nurse
1114211TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1649800699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ELM ST APT 4004",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752022925",
            "telephone_number": "808-518-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 DOUGLAS AVE STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255906",
            "telephone_number": "808-518-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBS",
        "first_name": "ANGELA",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "95646",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1114211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.