Angelique Tchounkovsky, A.N.P.-C.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP118541 Issued in TX

Practice address

5801 Oakbend TRL Ste 200
Fort Worth, TX 76132

Phone

(817) 529-9100

Fax

(817) 529-9106

NPI assigned

Dec 31, 2009

Last updated

Feb 17, 2022By 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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelique.tchounkovskynp.p1@direct.emm.nextgenshare.com
• Direct secure messaging: angelique.tchounkovskynp.p5@direct.emm.nextgenshare.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.

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  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
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  NPD

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1760712483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323916",
            "telephone_number": "817-529-9100",
            "fax_number": "817-529-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 OAKBEND TRL STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-529-9100",
            "fax_number": "817-529-9106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Magnolia Ave",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761048517",
            "country_code": "US",
            "telephone_number": "817-870-7300",
            "fax_number": "817-335-9529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHOUNKOVSKY",
        "first_name": "ANGELIQUE",
        "credential": "A.N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP118541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8820NZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Denise Taylor, SLP- ASSISTANT
• Tolleson C Taylor, MD
• Traci Taylor, COTA
• Veronica Taylor
• TCF Lab Service LLC
• Tci Consulting LLC
• Tcmerf
• Tcu Pharmacy LLC (TCU Health Center Pharmacy)
• Tcuro Pharmacy
• Teaching Our Youth Excellence (Toye Foundation)

• Adult Health Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.