Angel Lashay Madzima, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1030909 Issued in TX

Practice address

806 Bluff Ridge Dr
Cedar Hill, TX 75104-4517

Phone

(214) 669-1996

NPI assigned

Feb 25, 2021

Last updated

Mar 7, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• M7 Associates, LLC

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1245812361

  WA

  Medicare reassignment NPD Authorized official
• Alm Healthcare Services LLC

  • Case Manager/Care Coordinator
  • Duncanville, TX
  • NPI 1316403736
  NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922692482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 BLUFF RIDGE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044517",
            "telephone_number": "214-669-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 BLUFF RIDGE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751044517",
            "telephone_number": "214-669-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADZIMA",
        "first_name": "ANGEL",
        "middle_name": "LASHAY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030909",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1030909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Target Optical #C4344)
• Lymphatic Therapy Clinic LLC
• Lynwick Dialysis LLC (Cedar Hill Dialysis)
• M & L Medical Services, Inc.
• Mac-Crew Inc
• Oluwatoni Oluwademilade Makinde, PHARM.D.
• Aanchal Malhotra
• Michael Malone
• Jon Malveaux, PHARMD
• John Robert Mardock, D.D.S.

• Family Nurse Practitioner in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.