Individual provider Active NPI

Angela Renee Halbrook, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Marathon, FL
National Provider Identifier
1891113320
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11016975 Issued in FL
Practice address
3000 41St Street Ocean
Marathon, FL 33050-2373
Phone
(305) 434-7660
Fax
(305) 434-9041
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RN9327503 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11016975 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11016975 FL Primary

Addresses

Primary practice location

3000 41St Street Ocean
Marathon, FL 33050-2373

Mailing address

1205 4TH St
Key West, FL 33040-3707
Phone (305) 434-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411004919 FL Practitioner - Nurse Practitioner 9032558903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Key West Hma Physician Management LLCGroup PAC ID 0749178408, 33 clinicians

Practice addresses (Care Compare)

1111 12TH St
Key West, FL 33040-4084

1200 Kennedy Dr
Key West, FL 33040-4023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9327503FLMDMental Health Counselor
11016975FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Hma Physician Management, LLC CurrentSince Apr 1, 2024 Accepting new patients
Key West Hma Physician Management LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830

Interoperability endpoints

  • Direct secure messaging: angela.halbrook.2@4692.direct.athenahealth.com

Organizations & group practices 2

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1891113320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 4TH ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403707",
            "telephone_number": "305-434-7660",
            "fax_number": "305-434-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 41ST STREET OCEAN",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502373",
            "telephone_number": "305-434-7660",
            "fax_number": "305-434-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBROOK",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "RN9327503",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11016975",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11016975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.