Active NPI
Angela Nicole Hilton-Prillhart, PH.D.
- Psychologist
- Kingsport, TN
National Provider Identifier
1851676969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3053
- Practice address
- 2020 Meadowview Parkway, Suite 3
Kingsport, TN 37660-1103 - Phone
- (423) 398-5719
- NPI assigned
- Oct 20, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3053 | TN | Primary |
Addresses
Primary practice location
2020 Meadowview Parkway, Suite 3
Kingsport, TN 37660-1103
Mailing address
2020 Meadowview Pkwy Ste 3
Kingsport, TN 37660-7388
Phone (423) 398-5719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q004400 | Medicaid | TN |
Other names 1
- Angela Nicole Mounger
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3053 | TN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1851676969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 MEADOWVIEW PKWY STE 3",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376607388",
"telephone_number": "423-398-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 MEADOWVIEW PARKWAY, SUITE 3",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376601103",
"telephone_number": "423-398-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILTON-PRILLHART",
"first_name": "ANGELA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "3053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q004400",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "MOUNGER",
"middle_name": "NICOLE",
"credential": "M.ED.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.