NPIMap

Organization Active NPI

Ang Clinic PLLC

  • Primary Care Clinic/Center
  • Connell, WA
National Provider Identifier
1831227644
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AP30004437 Issued in WA
Legal business name
ANG CLINIC PLLC
Practice address
661 South Columbia Ave
Connell, WA 99326-0077
Phone
(509) 234-0866
Fax
(509) 234-0818
NPI assigned
Mar 1, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mrs. Jaeniffer Ang Kaiser, ARNP
Title
Owner
Phone
(509) 234-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP30004437 WA Primary

Addresses

Primary practice location

661 South Columbia Ave
Connell, WA 99326-0077

Mailing address

PO Box K
Connell, WA 99326-0077
Phone (509) 234-0866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1831227644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX K",
            "city": "CONNELL",
            "state": "WA",
            "postal_code": "993260077",
            "telephone_number": "509-234-0866",
            "fax_number": "509-234-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 SOUTH COLUMBIA AVE",
            "city": "CONNELL",
            "state": "WA",
            "postal_code": "993260077",
            "telephone_number": "509-234-0866",
            "fax_number": "509-234-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANG CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "JAENIFFER",
        "authorized_official_middle_name": "ANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-234-0866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP30004437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.