Angela Faith McCormick, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

041362669 Issued in IL

Practice address

125 E Plummer Blvd Ste a
Chatham, IL 62629-8136

Phone

(174) 833-3332

Fax

(217) 483-4393

NPI assigned

Apr 7, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: amccormick172275@ewd.direct.hshs.org

• Miss Angela Faith Nation Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2022.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1992238810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E PLUMMER BLVD STE A",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298136",
            "telephone_number": "174-833-3332",
            "fax_number": "217-483-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E PLUMMER BLVD STE A",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626298136",
            "telephone_number": "174-833-3332",
            "fax_number": "217-483-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "ANGELA",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041362669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccormick172275@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "125 E Plummer Blvd Ste A",
            "city": "Chatham",
            "state": "IL",
            "country_code": "US",
            "postal_code": "626298136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NATION",
            "middle_name": "FAITH",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachael Marie Manning, MS, CCC-SLP
• Kiley Nicole Marsaglia, PA-C
• Donna G Mattera, RPH
• Joanne Mayberry
• Jennifer Lynn McCabe, RD, LD, CLC, CD
• Wendie Medina, APN
• Ma Lizza Martinez Mendiola, RPT
• Micromedical Technologies, Inc
• Daj'Za Mitchell
• Amy Janine Moffat, M.S.

• All providers in Chatham, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.