Individual provider Active NPI

Angela Dawn Love, CNM, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1659374106
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
ARNP 3390252 Issued in FL
Practice address
126 43Rd Ave SW
Vero Beach, FL 32968-2382
Phone
(772) 766-5683
Fax
(772) 539-8369
NPI assigned
May 28, 2005
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP 3390252 FL Primary

Addresses

Primary practice location

126 43Rd Ave SW
Vero Beach, FL 32968-2382

Mailing address

126 43Rd Ave SW
Vero Beach, FL 32968-2382
Phone (772) 766-5683

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP 3390252FLMDObstetrics & Gynecology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: slove@yourcarecommunity.org

Organizations & group practices 1

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": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1659374106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 43RD AVE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682382",
            "telephone_number": "772-766-5683",
            "fax_number": "772-539-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 43RD AVE SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682382",
            "telephone_number": "772-766-5683",
            "fax_number": "772-539-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "credential": "CNM, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP 3390252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.