Michael Zachery Angelillis

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

945575 Issued in TX

Practice address

501 Panther Hollow Dr Unit 9304
Marble Falls, TX 78654-6132

Phone

(610) 761-9080

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1689418584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PANTHER HOLLOW DR UNIT 9304",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546132",
            "telephone_number": "610-761-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PANTHER HOLLOW DR UNIT 9304",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546132",
            "telephone_number": "610-761-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELILLIS",
        "first_name": "MICHAEL",
        "middle_name": "ZACHERY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "945575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L. Offutt, M.D., P.a.
• Amy Van Dorfy M D P a (Live Oak Medicine)
• Janet Ann Anderson, ANP
• Kristine Ellen Anderson, APRN-CNP
• Lori Renee Anderson, PT
• Robert R Anthony, M.D.
• Apex Hospice LLC (Enhabit Hospice)
• Glenn Charles Armen, M.D.
• Ascension Seton (Ascension Seton Marble Falls Health Center)
• Rebecca Asfeld

• Home Health Registered Nurse in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.