ANGELA RIDGE TAYLOR (NPI# 1699774810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699774810 |
| Entity Type | Individual |
| Full Name | ANGELA RIDGE TAYLOR |
| Credential | FNP |
| Practice Address |
961 South Gloster Street Tupelo MS 38801 |
| Practice Telephone | 6628449166 |
| Practice Fax Number | 6628440170 |
| Mailing Telephone | 6628449166 |
| Mailing Fax Number | 6628440170 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2010-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R853671 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0126044 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325829 | Angela Taylor | Technician | Georgetown Rd, Huttonsville, WV 26273 | 2020-10-30 |
| 1073144648 | Angela Marie Taylor | Counselor | 154 Mayfair St Se, Palm Bay, FL 32909-4359 | 2020-01-31 |
| 1467095240 | Angela Renee Taylor | Pharmacy Technician | 3020 Oceanside Blvd Apt 110, Oceanside, CA 92054-4837 | 2019-10-23 |
| 1780238170 | Angela Taylor | Registered Nurse | 2210 Stream Vista Pl Apt 309, Waldorf, MD 20601-7296 | 2019-07-24 |
| 1902355027 | Angela Taylor | Counselor | 11 Ditson St, Dorchester, MA 02122-1426 | 2016-09-30 |
| 1356796924 | Angela Taylor | Nutritionist | 6600 York Rd Ste 207, Baltimore, MD 21212-2024 | 2016-05-02 |
| 1497136634 | Angela Taylor | Home Health Aide | 10710 Saratoga St, Oak Park, MI 48237-3928 | 2015-06-13 |
| 1437539707 | Angela Taylor | Nurse Practitioner | 603 Seneca St Ste 2, Oneida, NY 13421-2653 | 2015-06-02 |
| 1447509096 | Angela Taylor | Licensed Practical Nurse | 7925 Whitetail Dr, Mount Pleasant, WI 53406-1750 | 2012-08-29 |
| 1255613618 | Angela Taylor | Pharmacist | 52482 St Rd 933 N, South Bend, IN 46637 | 2011-09-12 |
| Street Address |
961 SOUTH GLOSTER STREET |
| City | TUPELO |
| State | MS |
| Zip Code | 38801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055185 | Andrew H Kellum | Internal Medicine | 961 South Gloster Street, Tupelo, MS 38801 | 2005-07-07 |
| 1770647430 | North Mississippi Hematology & Oncology Assoc. Ltd | Durable Medical Equipment & Medical Supplies | 961 South Gloster Street, Tupelo, MS 38801 | 2006-12-20 |
| 1598762247 | Julian B Hill | Internal Medicine | 961 South Gloster Street, Tupelo, MS 38801 | 2005-07-07 |
| 1689671588 | North Mississippi Hematology & Oncology Associates Ltd | Internal Medicine | 961 South Gloster Street, Tupelo, MS 38801-6343 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789387 | Michelle Gardner Briley | Nurse Practitioner | 341 E Main St Ste A1, Tupelo, MS 38804-4040 | 2020-01-07 |
| 1891347522 | Lisa Pierce | Nurse Practitioner | 913 Holly Hill Dr, Tupelo, MS 38801-2361 | 2019-07-12 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1992234959 | Pro Health Clinic,llc | Nurse Practitioner | 4127 W Main St, Tupelo, MS 38801-8129 | 2017-06-05 |
| 1053845610 | Precious Montgomery | Nurse Practitioner | 173 Carr Vista Rd, Tupelo, MS 38801-8604 | 2017-04-20 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1528465424 | Advanced Diabetes Management Center LLC | Nurse Practitioner | 449 Gloster Creek, Suite H-9, Tupelo, MS 38801-0000 | 2014-11-21 |
| 1699051508 | Angela Sima Clegg | Nurse Practitioner | 942 Commonwealth Blvd, Tupelo, MS 38804-9762 | 2011-10-25 |
| 1427299213 | Kathi Ann Hood Tomsky | Nurse Practitioner | 2071 S Green St, Tupelo, MS 38804-6512 | 2009-03-09 |
| Find all providers in TUPELO | ||||
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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.