Angela Lee Callicutt, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

127266 Issued in NC

Practice address

10 Parker LN
Suite 1
Pinehurst, NC 28374-7903

Phone

(910) 295-3133

Fax

(910) 295-2723

NPI assigned

Apr 3, 2007

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 identifiers 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1922129154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 ALDER BRANCH DRIVE",
            "address_2": "PO BOX 1075",
            "city": "BISCOE",
            "state": "NC",
            "postal_code": "272091075",
            "telephone_number": "910-428-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARKER LN",
            "address_2": "SUITE 1",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747903",
            "telephone_number": "910-295-3133",
            "fax_number": "910-295-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLICUTT",
        "first_name": "ANGELA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NC",
            "license": "127266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Deon Campbell
• John A Campbell III

• Community Health Registered Nurse in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Community Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.