Individual provider Active NPI

Angela Loualan Louque, FNP-C

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1710379706
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9414513 Issued in FL
Practice address
6700 NW 10TH PL
Gainesville, FL 32605-4213
Phone
(352) 331-3111
NPI assigned
Feb 27, 2015
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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 APRN9414513 FL Primary
Medical-Surgical Registered Nurse 163WM0705X RN134287 AZ

Addresses

Primary practice location

6700 NW 10TH PL
Gainesville, FL 32605-4213

Mailing address

11770 US Highway 1 Ste 102E
Palm Beach Gardens, FL 33408-3052
Phone (561) 815-2427

Other identifiers 1

IdentifierTypeStateIssuer
016687100MedicaidFL

Other names 1

  • Mrs. Angela Loualan Morgan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160308002494 FL Practitioner - Nurse Practitioner 4284946369 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN134287AZMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Accountable Care, PA CurrentSince Feb 10, 2026 Accepting new patients
Longevity Clinical LTC Associates of Florida PLLC CurrentSince Jul 25, 2022 Accepting new patients
Longevity Accountable Care, PA CurrentSince Feb 10, 2026 Accepting new patients

Locations

6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402

4300 Rock Island Rd
Lauderhill, FL 33319
Phone (954) 309-1126

1404 NW 22nd St
Miami, FL 33142
Phone (305) 325-1050

11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270

600 Business Park Way
Royal Palm Beach, FL 33411
Phone (561) 795-3583

2970 Scarlet Rd
Winter Park, FL 32792
Phone (350) 250-2435

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1710379706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 US HIGHWAY 1 STE 102E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083052",
            "telephone_number": "561-815-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NW 10TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054213",
            "telephone_number": "352-331-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUQUE",
        "first_name": "ANGELA",
        "middle_name": "LOUALAN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9414513",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN134287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016687100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MORGAN",
            "middle_name": "LOUALAN",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.