Individual provider Active NPI

Angeline Hubbard Rollins

  • Licensed Vocational Nurse
  • Houston, TX
National Provider Identifier
1972053254
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
128474 Issued in TX
Practice address
15119 Blue Creek Ranch Dr
Houston, TX 77086-1117
Phone
(832) 368-4710
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 128474 TX Primary
Driver 172A00000X 09466578 TX

Addresses

Primary practice location

15119 Blue Creek Ranch Dr
Houston, TX 77086-1117

Mailing address

15119 Blue Creek Ranch Dr
Houston, TX 77086-1117
Phone (832) 368-4710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128474TXMDLicensed Vocational Nurse
09466578TXMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1972053254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15119 BLUE CREEK RANCH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861117",
            "telephone_number": "832-368-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15119 BLUE CREEK RANCH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861117",
            "telephone_number": "832-368-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD ROLLINS",
        "first_name": "ANGELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "128474",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "09466578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.