Individual provider Active NPI

Terrill Angell, M.A., FAAA

  • Audiologist
  • Kailua, HI
National Provider Identifier
1801009535
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD-128 Issued in HI
Practice address
407 Uluniu St Ste 212
Kailua, HI 96734-2537
Phone
(870) 405-3172
Fax
(808) 263-4368
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 83 AK
Audiologist 231H00000X AUD-128 HI Primary

Addresses

Primary practice location

407 Uluniu St Ste 212
Kailua, HI 96734-2537

Mailing address

407 Uluniu St Ste 212
Kailua, HI 96734-2537
Phone (870) 405-3172

Other identifiers 1

IdentifierTypeStateIssuer
AU7454MedicaidAK

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
83AKMDRegistered Dietitian
AUD-128HIMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1801009535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 212",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342537",
            "telephone_number": "870-405-3172",
            "fax_number": "808-263-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 212",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342537",
            "telephone_number": "870-405-3172",
            "fax_number": "808-263-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "TERRILL",
        "credential": "M.A., FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AK",
            "license": "83",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "HI",
            "license": "AUD-128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU7454",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.