Angela Fussell · 1111 Homer Rd, Minden, LA 71055-3027 · Family Nurse Practitioner (2024)

Overview

Angela Fussell is a Family Nurse Practitioner practicing in Minden, Louisiana. The National Provider Identifier (NPI) is #1528443249, which was assigned on July 23, 2015,and the registration record was last updated on March 7, 2019. The practitioner's main practice location is at 1111 Homer Rd, Minden, LA 71055-3027; the contact telephone number is 3183777500, and the fax number is 3183713594. The primary taxonomy of Angela Fussell is Family Nurse Practitioner (363LF0000X), with specialization in Family. Angela Fussell is licensed to practice in the state of Louisiana (#AP08315).

Provider Information

NPI1528443249
Entity TypeIndividual
Provider NameANGELA FUSSELL
GenderFemale
CredentialFNP-C
Practice Address1111 Homer Rd
Minden
LA 71055-3027
Practice Telephone3183777500
Practice Fax Number3183713594
Mailing Address1111 Homer Rd
Minden
LA 71055-3027
Mailing Telephone3183777500
Mailing Fax Number3183713594
Enumeration Date2015-07-23
Last Update Date2019-03-07
Is Sole ProprietorN

Doctor and Clinician Information

PAC ID9032426036Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full NameANGELA FUSSELL
Primary SpecialtyNURSE PRACTITIONER
Organization Legal NamePREMIER FAMILY CLINIC
Address102 Office Park Dr
Minden
LA 71055-3086

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LF0000XNurse PractitionerFamilyAP08315LA

Secondary Practice Locations

AddressTelephoneFax
2826 Bienville Hwy, Ringgold, LA 710683186480375
2826 Bienville Hwy, Ringgold, LA 710683186480375 ext.

Taxonomy Information

Primary Taxonomy

Definition: Definition to come...

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Location Information

Street Address1111 HOMER RD
CityMINDEN
StateLA
Zip Code71055-3027
CountryUS

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Charles Edward Self1111 Homer Rd, Minden, LA 71055-3027Medical Physician Assistant2005-09-21
Shannon Dawn Spigener1111 Homer Rd, Minden, LA 71055-3027Emergency Medicine Physician2006-03-14
Family Medicine Associates of Minden, LLC1111 Homer Rd, Minden, LA 71055-3027Rural Health Clinic/Center2007-09-10
Minden Physician Practices, LLC · Minden Primary Care1111 Homer Rd, Minden, LA 71055-3027Family Medicine Physician2006-12-07
Brenda Hawkins1111 Homer Rd, Minden, LA 71055-3027Family Nurse Practitioner2016-10-30
Mark Allen Cimino1111 Homer Rd, Minden, LA 71055-3027Family Medicine Physician2005-08-12
Molly Turner Skains1111 Homer Rd, Minden, LA 71055-3027Family Nurse Practitioner2021-01-05
Sandra Alexander Frith1111 Homer Rd, Minden, LA 71055-3027Professional Counselor2008-01-18

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Ctl Solutions, LLC1119 Homer Rd, Minden, LA 71055-3027Community/Behavioral Health Agency2015-05-11
Chess Group, LLC · Emurgent Care of Minden1117 Homer Rd, Minden, LA 71055-3027Urgent Care Clinic/Center2017-10-13

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Walgreen Co · Rite Aid214 Homer Rd, Minden, LA 71055Durable Medical Equipment & Medical Supplies2017-09-11
Monica L. Hendricks435 Homer Road, Minden, LA 71055Peer Specialist2014-04-29
Abc Pediatrics164 Country Club Circle Ste. B, Minden, LA 71055Specialist2016-05-09
Premier Family Clinic102 Office Park Dr., Minden, LA 71055Family Nurse Practitioner2019-07-24
Tashalana Walker601 Homer Rd., Minden, LA 71055Mental Health Counselor2017-08-01
Kelly Hackworth606 Homer Road, Minden, LA 71055Pharmacist2011-10-12
Regina Flournoy561 Angi Rd, Minden, LA 71055Case Manager/Care Coordinator2018-03-01
Sandra L Thomas15365 Hwy 80, Minden, LA 71055Mental Health Counselor2017-08-18
Minden Family Pharmacy LLC120 Homer Rd, Minden, LA 71055Community/Retail Pharmacy2020-09-21
Matters of The Heart of N. La. LLC403 Myers St., Minden, LA 71055Home Health Agency2008-05-16
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Randy G Fussell110 Oakmont Dr, Greenville, NC 27858-5936Dentist2006-05-16
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Juanita J Fussell805 N Willow Ave, Suite 300, Cookeville, TN 38501-1751Psychologist2006-12-14
Lori Fussell34 S Baldwin Ave, Arcadia, FL 34266-3387Licensed Practical Nurse2007-02-07
Anna Fussell Sorensen995 Senator Keating Blvd, Bldg E, Suite 340, Rochester, NY 14618-2775Registered Nurse2007-08-06
Joanna H Fussell6385 Stage Rd Ste 1, Bartlett, TN 38134-3730Behavior Technician2018-08-15
Fred W Fussell210 Washington St Nw, Ste. 200, Gainesville, GA 30501-3672Psychologist2006-07-04
Courtney A Fussell115 E Gold St Ste 518, Kings Mountain, NC 28086-3431Nurse Practitioner2018-05-21
Leila Fussell87 Walford Ln, Portsmouth, NH 03801-4765Pediatric Dentist2018-03-14
Celena Fussell11100 Euclid Ave, Cleveland, OH 44106-1716Student in an Organized Health Care Education/Training Program2022-03-25

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS).Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA).Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

SubjectTransparency and Disclosure
JurisdictionFederal
Data ProviderNational Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Sourcedownload.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS):NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.

Angela Fussell · 1111 Homer Rd, Minden, LA 71055-3027 · Family Nurse Practitioner (2024)
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