Angela Gaines

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

G520010837570 Issued in FL

Practice address

8556 Sturbridge Cir W
Jacksonville, FL 32244-6188

Phone

(904) 515-8129

NPI assigned

Apr 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ang Luxury

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1356295240
  NPD Authorized official

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1831728419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8556 STURBRIDGE CIR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446188",
            "telephone_number": "904-515-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8556 STURBRIDGE CIR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446188",
            "telephone_number": "904-515-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "G520010837570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jacksonville",
            "affiliation": "N",
            "endpointDescription": "Duval County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8556 Sturbridge Cir W",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322446188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth Leslie Gage, M.D., PH.D.
• Priscila C Gagliardi, MD
• Jennifer Mary Gagnon, PT
• Philip Porcher Gaillard III, MD
• Sinadia Ellise Gailyard, IMH
• Jaiana Gaines
• Julie Gaines
• Mary Sharon Gaines, LCSW
• Gainesville Vamc
• Gainesville Vamc

• Non-emergency Medical Transport (VAN) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; 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.