Active NPI
Angela Muthoni Ndegwa
- Licensed Vocational Nurse
- Gresham, OR
National Provider Identifier
1770116915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 352370
- Practice address
- 4101 NE Division St
Gresham, OR 97030-4617 - Phone
- (214) 604-5189
- NPI assigned
- Feb 17, 2020
- Last updated
- Oct 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 352370 | TX | Primary |
Addresses
Primary practice location
4101 NE Division St
Gresham, OR 97030-4617
Mailing address
4101 NE Division St
Gresham, OR 97030-4617
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 |
|---|---|---|---|
| 352370 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1770116915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 NE DIVISION ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970304617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 NE DIVISION ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970304617",
"telephone_number": "214-604-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDEGWA",
"first_name": "ANGELA",
"middle_name": "MUTHONI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "352370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
- Jamie Nash-Sedda
- Nykole Marie Nasshahn, B.S.
- Native American Rehabilitation Assoc Inc (Nara NW-Gresha Outpatient Treatment & Recovery Services)
- Natures Touch Healing Center LLC
- Jayden Joseph Navarro, PSS PWS
- Skye Anthony Nehs, PAC
- Christina Jo Nelson, LCSW
- Laura Thompson Nelson, DMD
- Laura A Neumann
- Neuronest Psychiatry Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.