Active NPI
Brenda Sue Wimpee
Doing business as San Angelo Home Medical
- Durable Medical Equipment & Medical Supplies
- San Angelo, TX
National Provider Identifier
1891703856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BRENDA SUE WIMPEE
- Doing business as
- San Angelo Home Medical
- Practice address
- 2525 S Johnson
Suite a
San Angelo, TX 76904 - Phone
- (325) 949-2612
- NPI assigned
- Aug 4, 2006
- Last updated
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brenda Sue Wimpee
- Title
- Owner
- Phone
- (325) 949-2612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
2525 S Johnson
Suite a
San Angelo, TX 76904
Mailing address
2525 S Johnson
Suite a
San Angelo, TX 76904
Phone (325) 949-2612
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011356501 | Medicaid | TX | |
| 530545 | Other | TX | BCBS |
| 010569401 | Other | TX | NHIC |
Other names 1
- San Angelo Home Medical
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1891703856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 S JOHNSON",
"address_2": "SUITE A",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "76904",
"telephone_number": "325-949-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S JOHNSON",
"address_2": "SUITE A",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "76904",
"telephone_number": "325-949-2612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDA SUE WIMPEE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "WIMPEE",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "325-949-2612",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011356501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "530545",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC",
"identifier": "010569401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "San Angelo Home Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.