Angela Church, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26515 Issued in TN

Practice address

1665 Bonnie LN Ste 101
Cordova, TN 38016-0548

Phone

(901) 531-8555

NPI assigned

Jan 30, 2020

Last updated

Mar 20, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: angela.church.1@14999.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14999/brand/1/csg/1/fhir/r4

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.

• Cordova Pediatrics PLLC

  dba Monica Wright MD

  • Pediatrics Physician
  • Cordova, TN
  • NPI 1477513992
  NPD (past)
• Memphis Radiological, PC

  dba P.E.T. Imaging Center

  • Nuclear Radiology Physician
  • Memphis, TN
  • NPI 1457350514
  NPD (past)
• All Children's Clinic,PC

  • Pediatrics Physician
  • Senatobia, MS
  • NPI 1265756951
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1982235735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 BONNIE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160548",
            "telephone_number": "901-494-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 BONNIE LN STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160548",
            "telephone_number": "901-531-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "ANGELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Stinson Childs, LCSW
• Ron Chipman
• Chiro-R-US
• Saleem A Choudhri, MD
• Thomas Paul Chu, M.D.
• Alicia M Ciarloni, NP-C
• Courtney Meadows Clark, PA
• Dominique Clark, FNP-C
• Jessiana Clark, BA
• Julia Clark, RBT

• Family Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.