Individual provider Active NPI

Angela Latrice Anderson

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1750732699
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP136185 Issued in TX
Practice address
3960 Broadway Blvd Ste 220E
Garland, TX 75043-8333
Phone
(214) 702-8330
Fax
(214) 594-8251
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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 A004789 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP136185 TX Primary

Addresses

Primary practice location

3960 Broadway Blvd Ste 220E
Garland, TX 75043-8333

Mailing address

1602 Highway 104
White Hall, AR 71602-9479
Phone (870) 329-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170810000031 AR Practitioner - Nurse Practitioner 0941571954 Reassigns benefits to 1 organization
I20240102000843 TX Practitioner - Nurse Practitioner 0941571954 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rayl Enterprises CurrentSince Nov 27, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince May 4, 2024 Accepting new patients
Angela L. Anderson, DNP, Aprn, FNP-C, Pmhnp-BC, LLC Family CurrentSince Feb 13, 2026 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 16, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 19, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince May 4, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4251 FM 2181
Ste 230517
Corinth, TX 76210

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3960 Broadway Blvd
Ste 220E
Garland, TX 75043
Phone (214) 702-8330

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

105 Kathryn Dr
Ste D
Lewisville, TX 75067
Phone (800) 972-0643

Organizations & group practices 6

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1750732699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 HIGHWAY 104",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716029479",
            "telephone_number": "870-329-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 220E",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438333",
            "telephone_number": "214-702-8330",
            "fax_number": "214-594-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELA",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004789",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.