Angelena Marie Valdez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704294297 Issued in MI

Practice address

1707 Dexter Ave
Ann Arbor, MI 48103-4007

Phone

(734) 707-7004

NPI assigned

Feb 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angelena Marie Kandah Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Adrian Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Adrian, MI
  • NPI 1144611633
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1871032151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 DEXTER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034007",
            "telephone_number": "734-707-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 DEXTER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034007",
            "telephone_number": "734-707-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Clinton Street",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48226",
            "country_code": "US",
            "telephone_number": "313-224-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "ANGELENA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704294297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELENA",
            "last_name": "KANDAH",
            "middle_name": "MARIE",
            "credential": "ANGELENA ZOBEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Sudhir Vaidya, D.O.
• Melissa Vainner
• Ulka Nitin Vaishampayan, MD
• Andre Valcanaia, DDS
• Chelsea Marseille Valdes-Pierce, FNP-BC
• Cesar Valdez, LMSW
• Daniel Luis Valdez, LMSW
• Raynaldo Juaquin Valdez, ATC
• Riccardo Valdez, M.D.
• Matthew Valdis, MD

• Family Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.