Active NPI
Anne Marie Nangle, R.N., MS, CPNP
- Primary Care Nurse Practitioner
- Cartersville, GA
National Provider Identifier
1992866453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN076375
- Practice address
- 100 Market Place Blvd
Ste 201
Cartersville, GA 30121-8718 - Phone
- (706) 625-5900
- Fax
- (770) 386-3879
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN076375 | GA | |
| Primary Care Nurse Practitioner | 363LP2300X | RN076375 | GA | Primary |
Addresses
Primary practice location
100 Market Place Blvd
Ste 201
Cartersville, GA 30121-8718
Mailing address
PO Box 2078
Calhoun, GA 30703-2078
Phone (706) 625-5900
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agc Pediatrics, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEJAAA
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.
-
- Specialist
- Calhoun, GA
- NPI 1356475214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1992866453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2078",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307032078",
"telephone_number": "706-625-5900",
"fax_number": "770-386-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARKET PLACE BLVD",
"address_2": "STE 201",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301218718",
"telephone_number": "706-625-5900",
"fax_number": "770-386-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANGLE",
"first_name": "ANNE MARIE",
"name_prefix": "Ms.",
"credential": "R.N., MS, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "RN076375",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN076375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.