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Angela Hawkins

Physician β€’ Fulton, MO

Deactivated NPI 1316529670 Deactivated in NPPES Female Practitioner
Practice location in NPPES

541 Amerihost Dr Apt 104
Fulton, MO 652512528

Phone: 5738260768

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of April 10, 2024; the reason is not published. The records below are historical. They do not show whether Angela Hawkins currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 26, 2021
NPI Deactivation Date April 10, 2024
NPI Active Period 2021 – 2024

Practice Location & Contact Primary Location

Practice Address

541 Amerihost Dr Apt 104

Fulton, MO 652512528

Telephone 5738260768

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Fulton and Missouri

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

License # reported to NPPES MO 1758734

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated April 10, 2024

NPPES lists this NPI as deactivated as of April 10, 2024; the reason is not published.

βœ…
NPI Profile Active April 26, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 26, 2021

Registered at 541 AMERIHOST DR APT 104, FULTON, MO 652512528 (Tel: 5738260768)

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Business Mailing Address (Initial Record) April 26, 2021

Registered at 1415 WESTMINSTER AVE, FULTON, MO 652511045 (Tel: 5733104600)

πŸ‘€
Provider Name / Credentials (Initial Record) April 26, 2021

Recorded as ANGELA HAWKINS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2021

Home Health (license number reported to NPPES: MO 1758734)

🟒
Initial NPI Registration & Enumeration April 26, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316529670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2021
Last Update: April 26, 2021
Deactivation Date: April 10, 2024

Mailing Address

1415 Westminster Ave

Fulton, MO 652511045

Phone: 5733104600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.