ANGELS OF ARK, LLC
NPI 1285512798
Nurse Practitioner in Medford, OR

Q: What is Angels Of Ark, LLC's NPI number?

The NPI number for Angels Of Ark, LLC is 1285512798. It was assigned to this organization in the NPPES registry on August 22, 2025.

Q: What is Angels Of Ark, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 22, 2025

133 PINNER LN APT 4, MEDFORD, OR 97501(281) 650-0945(541) 245-7494 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angels Of Ark, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELS OF ARK, LLC (NPI 1285512798) is a healthcare organization registered as a nurse practitioner in Medford, Oregon and active in the NPI registry since August 2025. The organization lists Manga Telidevara, Owner, as its authorized official.

NPPES Registry Identity

NPI1285512798

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameANGELS OF ARK, LLC

Location Address133 PINNER LN APT 4Medford, OR 97501-7528

Mailing Address133 Pinner Ln Apt 4Medford, OR 97501-7528 · (281) 650-0945 · Fax (541) 245-7494

Phone(281) 650-0945

Fax(541) 245-7494

Organization SubpartNo

Authorized OfficialManga TelidevaraOwner · (281) 650-0945

Enumeration DateAugust 22, 2025

NPPES CertifiedAugust 22, 2025

✔ NPI 1285512798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(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.

133 PINNER LN APT 4, Medford, OR 97501

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angels Of Ark, LLC's NPI number?

The NPI number for Angels Of Ark, LLC is 1285512798. It was assigned to this organization in the NPPES registry on August 22, 2025.

Where is Angels Of Ark, LLC located?

Angels Of Ark, LLC is located at 133 Pinner Ln Apt 4, Medford, OR 97501. The listed phone number is (281) 650-0945.

What is Angels Of Ark, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Angels Of Ark, LLC was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.