Individual provider Active NPI

Angell Xiomara Edwards, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1740907757
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08221183 Issued in TX
Practice address
2222 Greenhouse Rd
Houston, TX 77084-7287
Phone
(281) 764-9494
NPI assigned
Oct 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08221183 TX Primary

Addresses

Primary practice location

2222 Greenhouse Rd
Houston, TX 77084-7287

Mailing address

3788 Richmond Ave Apt 1518
Houston, TX 77046-3720
Phone (281) 728-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230413002191 TX Practitioner - Nurse Practitioner 2668847187 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08221183TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Physician Associates CurrentSince Apr 3, 2023 Accepting new patients
Brazos Medical Center Past Accepting new patients

Locations

6306 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (713) 732-4677

6302 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (832) 831-9094

6930 FM 1960 Rd W
Houston, TX 77069
Phone (713) 554-6300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1740907757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 RICHMOND AVE APT 1518",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770463720",
            "telephone_number": "281-728-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 GREENHOUSE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847287",
            "telephone_number": "281-764-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ANGELL",
        "middle_name": "XIOMARA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F08221183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.