Individual provider Active NPI

Angela Waldrop, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, AL
National Provider Identifier
1851942486
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-110702 Issued in AL
Practice address
8215 Madison Blvd Ste 150
Madison, AL 35758-2034
Phone
(256) 325-2500
Fax
(866) 896-3567
NPI assigned
Sep 25, 2019
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-110702 AL Primary

Addresses

Primary practice location

8215 Madison Blvd Ste 150
Madison, AL 35758-2034

Mailing address

8215 Madison Blvd Ste 150
Madison, AL 35758-2034
Phone (256) 325-2500

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

LicenseStateTypeSpecialty
1-110702ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Mental Health Services Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Robert L Geist, PHD, LLC PastSince Jan 1, 2020 Accepting new patients
North Alabama Family Psychiatry & Counseling PastSince Sep 1, 2019 Accepting new patients

Locations

8215 Madison Blvd
Ste 150
Madison, AL 35758
Phone (256) 325-2500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1851942486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 MADISON BLVD STE 150",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582034",
            "telephone_number": "256-325-2500",
            "fax_number": "866-896-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 MADISON BLVD STE 150",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582034",
            "telephone_number": "256-325-2500",
            "fax_number": "866-896-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "ANGELA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-110702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.