Angie Layne Ciccarello, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001254640 Issued in VA

Practice address

42 Peaks View Dr
Moneta, VA 24121-2566

Phone

(540) 243-4407

NPI assigned

Feb 26, 2025

Last updated

Feb 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Angie McBride Layne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1881491884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PEAKS VIEW DR",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241212566",
            "telephone_number": "540-243-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PEAKS VIEW DR",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241212566",
            "telephone_number": "540-243-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLO",
        "first_name": "ANGIE",
        "middle_name": "LAYNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "VA",
            "license": "0001254640",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001254640",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001254640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "LAYNE",
            "middle_name": "MCBRIDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Centra Medical Group, LLC (CMG Moneta Endocrinology Center)
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• Georgia Fisher Chapman, R PH
• Chirocare, Inc
• Jeffery Alan Chodrow
• Carey Ann Cole, RN, FNP-BC
• Brandon K Cox, MD
• Robert N Cox, FNP
• Ashley Kristin Danielsen
• Todd H Dehli, M.D.

• Registered Nurse in Moneta, VA
• Providers in Moneta, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.