DR. DEBORAH J ANGELES (NPI# 1972833523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972833523 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH J ANGELES |
| Credential | PNP |
| Practice Address |
27th Special Operations Medical Group 224 W Dl Ingram Ave Cannon Afb NM 88103-5103 |
| Practice Telephone | 5759043917 |
| Practice Fax Number | 5757846028 |
| Mailing Telephone | 5759043917 |
| Mailing Fax Number | 5757846028 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP125849 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
643519 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W DL INGRAM AVE |
| City | CANNON AFB |
| State | NM |
| Zip Code | 88103-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649814120 | Chase Chesterman | Dietitian, Registered | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2019-10-29 |
| 1134613342 | Nicholas F Polk | Social Worker | 27th Special Operations Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2018-06-20 |
| 1144725755 | Kent Andrew Boucher | General Practice | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2018-03-26 |
| 1184137218 | Racheal L Rivera | Nurse Practitioner | 27th Special Operations Medical Group, 27 Somdg/sghc, Cannon Afb, NM 88103-5103 | 2017-11-11 |
| 1821510033 | Wallace D Cleveland Jr. | Physician Assistant | 27th Special Operations Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2017-07-10 |
| 1497104194 | Anne M Murphy | Pediatrics | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2016-06-03 |
| 1265848576 | John M Richardson | Family Medicine | 27th Special Operations Medical Group, 244 W D.l. Ingram Ave, Cannon Afb, NM 88101-5103 | 2014-07-08 |
| 1710287362 | Julie A Thomas | Nurse Practitioner | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346747151 | Isabella Wolak | Pharmacist | 224 D L Ingram Blvd, Cannon Afb, NM 88103 | 2018-04-09 |
| 1225480544 | Stacey Tatro | Dentist | 224 West D.l. Ingram Ave., Bldg 1408, Cannon Afb, NM 88103 | 2016-07-11 |
| 1871965673 | Chad Bryan Carter | Dentist | 224 W Dl Ingram Ave, Sgpd/dental Clinic, Cannon Air Force Base, NM 88103 | 2015-10-20 |
| 1740660836 | Terah Clifford | Dental Hygienist | 224 W Dl Ingram Blvd, Bldg 1408 Dental Clinic, Cannon Afb, NM 88103 | 2015-06-03 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1588071328 | Gretchen Evelynn Szymanski | Nurse Practitioner | Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 | 2014-07-14 |
| 1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
| 1366889487 | Jeremy Michael Strohmayer | General Practice | 511 Chindt Blvd Building 300, 27soss/osm, Cannon Afb, NM 88103 | 2013-05-30 |
| 1356622401 | Matthew John Nielsen | Dentist | 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 | 2011-09-02 |
| 1689965485 | Bryan Wade Sixkiller | Optometrist | 27th Somdg, 208 W. Casa Blanca Ave., Apo, AA 88103 | 2011-04-27 |
| Find all providers in zip 88103 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960153 | Renea M Reano | Nurse Practitioner | 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 | 2020-10-23 |
| 1104433952 | Joli Ann Martinez | Nurse Practitioner | 2028 Coba Rd Se, Rio Rancho, NM 87124-8913 | 2020-09-25 |
| 1124642772 | Little Steps Pediatrics LLC | Nurse Practitioner | 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 | 2020-05-29 |
| 1558865980 | Kirsten Shelby Guerra | Nurse Practitioner | 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 | 2018-03-21 |
| 1225552094 | Sacheen Diahn Naddy | Nurse Practitioner | 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 | 2017-08-02 |
| 1336661958 | Camille Caroline Walker | Nurse Practitioner | 437 Loma Linda Loop Ne, Rio Rancho, NM 87124-4717 | 2017-07-14 |
| 1700242112 | Gustavo Gutierrez | Nurse Practitioner | 800 S County Line Dr, Chaparral, NM 88081 | 2016-01-14 |
| 1689040461 | Elizabeth Rodgers | Nurse Practitioner | 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 | 2015-08-17 |
| 1891026563 | Lori Myers | Nurse Practitioner | 1721 Rio Rancho Blvd. Nw, Rio Rancho, NM 87124 | 2010-01-20 |
| 1093043283 | Nadine Marie Hober | Nurse Practitioner | 25 Llano Del Norte, Placitas, NM 87043-8306 | 2009-11-26 |
| Find all providers with the same taxonomy | ||||
| City | CANNON AFB |
| Zip Code | 88103 |
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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.