Active NPI
Angela Sharp-Davis, CSA/SA-C
- Surgical Assistant
- Mansfield, TX
National Provider Identifier
1982899019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 3353
- Practice address
- 4807 San Remo Dr
Mansfield, TX 76063-8643 - Phone
- (817) 300-5810
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 3353 | TX | Primary |
| Other Specialist/Technologist | 246Z00000X | 09-197 | TX |
Addresses
Primary practice location
4807 San Remo Dr
Mansfield, TX 76063-8643
Mailing address
4807 San Remo Dr
Mansfield, TX 76063-8643
Phone (817) 300-5810
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3353 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 09-197 | TX | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asd Surgical Services | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Assistant
- Mansfield, TX
- NPI 1922237239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1982899019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4807 SAN REMO DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638643",
"telephone_number": "817-300-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 SAN REMO DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638643",
"telephone_number": "817-300-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP-DAVIS",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "CSA/SA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "3353",
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "TX",
"license": "09-197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.