Active NPI
Angie Putman
- Licensed Vocational Nurse
- Lufkin, TX
National Provider Identifier
1730689456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 191494
- Practice address
- 142 Norman St
Lufkin, TX 75904-4746 - Phone
- (936) 671-3203
- NPI assigned
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 191494 | TX | Primary |
| Licensed Practical Nurse | 164W00000X | 191494 | TX |
Addresses
Primary practice location
142 Norman St
Lufkin, TX 75904-4746
Mailing address
142 Norman St
Lufkin, TX 75904-4746
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191494 | Medicaid | TX | |
| 164X00000X | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191494 | TX | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1730689456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 NORMAN ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759044746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 NORMAN ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759044746",
"telephone_number": "936-671-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTMAN",
"first_name": "ANGIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "191494",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "191494",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191494",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164X00000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
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- Latisha Ann Primrose, LPC
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- Professional Speech & Language Services, PLLC
- Protostar Journey PLLC
- Hani Qamhieh, CSFA
- Crystal Lois Qualls, LVN
- Rab Chiropractic LLC (Roberts Chiropractic and Acupuncture)
- Ralph W. Rose DDS PLLC (Hollywood Dental Center)
- Julio Cesar Ramos, SLP-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.