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Angelica Fields

Physician β€’ Hampton, VA

Deactivated NPI 1649970146 Deactivated in NPPES Female Practitioner
Practice location in NPPES

613 Carlton Dr
Hampton, VA 236662915

Phone: 2024656655

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 March 17, 2023; the reason is not published. The records below are historical. They do not show whether Angelica Fields currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 06, 2023
NPI Deactivation Date March 17, 2023
NPI Active Period 2023 – 2023

Practice Location & Contact Primary Location

Practice Address

613 Carlton Dr

Hampton, VA 236662915

Telephone 2024656655
Organization at the Same NPPES Address or Phone
Agape House, Llc Facility NPI 1588366322

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

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 Hampton and Virginia

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

Community Based Residential Treatment Facility, Mental Illness Primary Specialty

NUCC Taxonomy Code: 320800000X

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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: Virginia Department of Health Professions.
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 March 17, 2023

NPPES lists this NPI as deactivated as of March 17, 2023; the reason is not published.

βœ…
NPI Profile Active March 06, 2023

NPI status registered as active in NPPES database

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Practice Location (Initial Record) March 06, 2023

Registered at 613 CARLTON DR, HAMPTON, VA 236662915 (Tel: 2024656655)

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Business Mailing Address (Initial Record) March 06, 2023

Registered at 613 CARLTON DR, HAMPTON, VA 236662915

πŸ‘€
Provider Name / Credentials (Initial Record) March 06, 2023

Recorded as ANGELICA FIELDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Community Based Residential Treatment Facility, Mental Illness

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Initial NPI Registration & Enumeration March 06, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649970146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2023
Last Update: March 06, 2023
Deactivation Date: March 17, 2023

Mailing Address

613 Carlton Dr

Hampton, VA 236662915

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.