Individual provider Active NPI

Angela Waggoner, FNP

  • Nurse Practitioner
  • League City, TX
National Provider Identifier
1659794451
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP125075 Issued in TX
Practice address
2560 E League City Pkwy
League City, TX 77573-6459
Phone
(281) 783-8162
Fax
(713) 439-7995
NPI assigned
Jan 29, 2014
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 848669 TX
Nurse Practitioner 363L00000X AP125075 TX Primary

Addresses

Primary practice location

2560 E League City Pkwy
League City, TX 77573-6459

Mailing address

16107 Kensington Dr Ste 126
Sugar Land, TX 77479-4224
Phone (281) 783-8162

Other practice location 1

2560 State Highway 96, Ste. B
League City, TX 77573
Phone (832) 982-7228

Other names 1

  • Angela Rodriguez 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
I20140707000828 TX Practitioner - Nurse Practitioner 3173748126 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

10422 Research Forest Dr
Magnolia, TX 77354-6155
Phone (832) 702-7699

1729 S Friendswood Dr
Friendswood, TX 77546-5409
Phone (281) 402-1930

1917 W Gray St
Houston, TX 77019-4801
Phone (832) 260-0650

300 Northpark Dr
Kingwood, TX 77339-1672
Phone (281) 310-8445

3150 Gulf Fwy S
Dickinson, TX 77539-4316
Phone (832) 720-6345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125075TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Dec 10, 2020 Accepting new patients
Nluc PLLC CurrentSince Dec 10, 2020 Accepting new patients
Next Level MV LLC CurrentSince Dec 10, 2020 Accepting new patients
Houston Carenow Urgent Care PLLC CurrentSince Feb 13, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Nluc PLLC CurrentSince Dec 10, 2020 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Apr 1, 2024 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Dec 10, 2023 Accepting new patients
St. David's Carenow Urgent Care PLLC CurrentSince Feb 17, 2026 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jan 4, 2019 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Galleria Pain Physicians PLLC CurrentSince Oct 21, 2021 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care Past Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations (25 of 40)

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

7710 Garth Rd
Ste A
Baytown, TX 77521

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

6700 West Loop S
Ste 225
Bellaire, TX 77401
Phone (281) 393-4121

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

4019 Interstate 45 N
Conroe, TX 77304
Phone (936) 856-1100

3150 Gulf Fwy S
Dickinson, TX 77539
Phone (832) 720-6345

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

2560 E League City Pkwy
League City, TX 77573
Phone (832) 982-7228

2560 E League City Pkwy
#B
League City, TX 77573
Phone (817) 838-1622

10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1659794451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16107 KENSINGTON DR STE 126",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794224",
            "telephone_number": "281-783-8162",
            "fax_number": "713-439-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E LEAGUE CITY PKWY",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736459",
            "telephone_number": "281-783-8162",
            "fax_number": "713-439-7995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 State Highway 96, Ste. B",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "77573",
            "country_code": "US",
            "telephone_number": "832-982-7228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "ANGELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "848669",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP125075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "RODRIGUEZ",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.