Individual provider Active NPI

Angela Outman, RN

  • Registered Nurse
  • Wellsville, NY
National Provider Identifier
1700205804
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
641299 Issued in NY
Practice address
4222 Bolivar Rd
Wellsville, NY 14895
Phone
(585) 593-1655
Fax
(585) 593-1868
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 641299 NY Primary

Addresses

Primary practice location

4222 Bolivar Rd
Wellsville, NY 14895

Mailing address

4222 Bolivar Rd
Wellsville, NY 14895
Phone (585) 593-1655

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
641299NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1700205804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 BOLIVAR RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "14895",
            "telephone_number": "585-593-1655",
            "fax_number": "585-593-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 BOLIVAR RD",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "14895",
            "telephone_number": "585-593-1655",
            "fax_number": "585-593-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTMAN",
        "first_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "641299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.