Active NPI
Angela Marie Nallie, APRN-FNP-C
- Family Nurse Practitioner
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1130705
- Practice address
- 301 University Blvd
Galveston, TX 77555-5302 - Phone
- (409) 772-1011
- NPI assigned
- Nov 9, 2023
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1130705 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-5302
Mailing address
713 Pelican Harbour Dr
Texas City, TX 77590-2003
Phone (409) 789-0387
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1130705 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
1108 E Mulberry St
Ste A
Angleton, TX 77515
Phone (979) 849-0692
195 N 11th St
Beaumont, TX 77702
Phone (409) 838-0045
701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
3023 Marina Bay Dr
Ste 101
League City, TX 77573
Phone (281) 334-0620
3737 Red Bluff Rd
#150
Pasadena, TX 77503
Phone (713) 473-5180
2750 Broadway St
Pearland, TX 77581
Phone (281) 448-5322
Interoperability endpoints
- analliern43369@direct.utmb.edu
Organizations & group practices 2
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
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- Friendswood, TX
- NPI 1699532861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1669246682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 PELICAN HARBOUR DR",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775902003",
"telephone_number": "409-789-0387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555302",
"telephone_number": "409-772-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLIE",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "APRN-FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1130705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.