Angela Michelle Demoss, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

60021163102 Issued in UT

Practice address

682 Country Club
Stansbury Park, UT 84074

Phone

(801) 244-6688

NPI assigned

Jun 28, 2013

Last updated

Feb 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Angela Michelle Sandy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.demoss.1@31651.direct.athenahealth.com

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.

• West Yavapai Guidance Clinic

  dba Polara Health

  • Clinic/Center
  • Camp Verde, AZ
  • NPI 1538878186
  NPD
• West Yavapai Guidance Clinic, Inc

  dba Polara Health

  • Psychiatric Hospital
  • Prescott, AZ
  • NPI 1952550071
  NPD
• West Yavapai Guidance Clinic, Inc.

  dba Polara Health

  • Clinic/Center
  • Prescott, AZ
  • NPI 1578517108
  NPD
• Child & Family Support Service, Inc

  • Community/Behavioral Health Agency
  • Prescott Valley, AZ
  • NPI 1730319450
  NPD (past)
• Child & Family Support Services, Inc

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1750511473
  NPD (past)
• West Yavapai Guidance Clinic Inc

  dba Polara Health

  • Psychiatric Hospital
  • Prescott Valley, AZ
  • NPI 1861912651
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1710327218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 COUNTRY CLUB",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "801-244-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 COUNTRY CLUB",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "801-244-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "60021163102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SANDY",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David J Clonts, D.D.S.
• Cameron Cooper, PA
• Cradled Soul PLLC
• Creek Capital Stansbury Park LLC (Burg Children's Dentistry & Orthodontics-Stansbury Park)
• Sheila Delisle
• Dustin Dowdle, LMFT
• Curt Rydell Dustin, MSN, APRN, BC
• Families First Orthodontics
• Families First Orthodontics
• Families First Pediatric Dentistry

• Psychiatric/Mental Health Nurse Practitioner in Stansbury Park, UT
• Providers in Stansbury Park, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.