ANGELA M PURCELL NPI 1003446832

Nurse Practitioner (Family) in Dyer, IN

Individual Female Nurse Practitioner Family PECOS Enrolled Accepts Medicare Years Experience 2

About ANGELA PURCELL

Angela Purcell is a provider established in Dyer, Indiana and her medical specialization is nurse practitioner with more than 2 years of experience. The NPI number of Angela Purcell is 1003446832 and was assigned on January 2020. The practitioner's primary taxonomy code is 363LF0000X with license number 209020041 (IL). The provider is registered as an individual and her NPI record was last updated January 2020. Angela Purcell is enrolled in PECOS and is registered with Medicare and accepts claims assignment.

NPI

1003446832

Provider Name ANGELA M PURCELL
Provider Location Address875 JOLIET ST DYER, IN 46311
Provider Mailing Address875 JOLIET ST DYER, IN 46311
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2019
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-21-2020
Last Update Date01-21-2020

Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.209020041
License StateIL
Taxonomy DescriptionDefinition to come…

Business Address

ANGELA M PURCELL
875 JOLIET ST
DYER, IN
ZIP 46311
Phone: (219) 440-7340

Get Directions

Mailing Address

ANGELA M PURCELL
875 JOLIET ST
DYER, IN
ZIP 46311
Phone: (219) 440-7340

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134769409 CATHRYN SOTAK FNP
Individual
Nurse Practitioner (Family)875 JOLIET ST
DYER, IN 46311
(815) 300-1100
1134788581MIDWEST EXPRESS CARE 4, LLC
Organization
Clinic/Center (Urgent Care)875 JOLIET ST
DYER, IN 46311
(219) 440-7340
1346595006DR. GOLSA SHAHKAR MD
Individual
Family Medicine875 JOLIET ST
DYER, IN 46311
(219) 440-7340
1508405853 HEATHER KMIECIK FNP-BC
Individual
Nurse Practitioner (Family)875 JOLIET ST
DYER, IN 46311
(219) 440-7340
1518134816DR. PATRICK JOSEPH HOBBINS DO
Individual
Family Medicine875 JOLIET ST
DYER, IN 46311
(219) 440-7340
1801345343INDIANA XPRESS ORTHO CARE, LLC
Organization
Orthopaedic Surgery875 JOLIET ST
DYER, IN 46311
(219) 440-1006

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.