ANGELIA MACK (NPI# 1356812416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356812416 |
| Entity Type | Individual |
| Full Name | ANGELIA MACK |
| Practice Address |
4600 Taft Blvd Wichita Falls TX 76308-4935 |
| Mailing Address |
1403 Longview St Wichita Falls TX 76306-4648 |
| Practice Telephone | 9406961710 |
| Mailing Telephone | 2102321880 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP139916 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 00000000000000000000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1403 Longview St, Wichita Falls, TX 763064648 | 2102321880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871901967 | Angelia Mack | Registered Nurse | 1907 1/2 Semple Ave, Saint Louis, MO 63112-4307 | 2014-08-01 |
| Street Address |
4600 TAFT BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548381437 | Presbyterian Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-02 |
| 1093009730 | Diane Kay Ballinger | Occupational Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2011-05-29 |
| 1730374067 | Sherrie Allison Mcshan | Occupational Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-09-10 |
| 1720299498 | Briana L Stalker | Physical Therapy Assistant | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-05-24 |
| 1295954303 | Diana M Ulery | Physical Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-25 |
| 1770702342 | Dawn Faske Sonnier | Occupational Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-24 |
| 1245457902 | Bobby Joe Miller Jr. | Specialist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-20 |
| 1962629758 | Tanya Lenae Stewart | Occupational Therapist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-20 |
| 1730306572 | Jaclyn Jo Andrew | Specialist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-20 |
| 1205052925 | Rachel Langland King | Speech-Language Pathologist | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
| 1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
| 1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
| 1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| Find all providers in zip 76308 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706512 | Managing Life Mental Health Clinic LLC | Nurse Practitioner | 2708 Dayton Ave, Wichita Falls, TX 76301-6110 | 2020-10-06 |
| 1386295665 | Amy Wolfe | Nurse Practitioner | 5685 Covey Ln, Wichita Falls, TX 76310-1788 | 2019-09-26 |
| 1982117594 | Jana Vieth | Nurse Practitioner | 3210 Midwestern Pkwy Ste 500a, Wichita Falls, TX 76308-2860 | 2017-11-06 |
| 1376572495 | Cynia Donette Menzik | Nurse Practitioner | 1819 8th Street, Wichita Falls, TX 76301-4219 | 2006-07-01 |
| 1265031074 | Gidgett Marie Bates | Nurse Practitioner | 1819 8th St, Wichita Falls, TX 76301-4212 | 2020-10-22 |
| 1720617699 | Shelli Renee Craig | Nurse Practitioner | 1800 Rose St, Wichita Falls, TX 76301-4219 | 2020-04-03 |
| 1356979371 | Mari Brooke Adams | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4300 | 2020-03-27 |
| 1164053757 | Debra Felderhoff | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4388 | 2020-02-01 |
| 1669024113 | Jennifer Michelle Dillard | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4300 | 2019-07-15 |
| 1033680731 | Hanh T May | Nurse Practitioner | 1631 11th St Unit B, Wichita Falls, TX 76301-4332 | 2018-12-07 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.