Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639683824 Individual Practitioner Female Practitioner

Beth Angle

Licensed Practical Nurse • Centralia, IL

Professional Overview & Biography Verified Profile Summary

Beth Angle is a registered healthcare professional specializing in Licensed Practical Nurse in Centralia, IL. Practice services are available at 904 E. MARTIN LUTHER KING DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

904 E. Martin Luther King Drive

Centralia, IL 628013058

Telephone 6185331391
Fax 6185330012
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Centralia, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Centralia, IL (906 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IL 043123661

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
370915481007 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Andrea Slater

Counselor

NPI 1003556424
NPI 1003742966
Mary Gates-Gully , MS, CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1013105295

Master of Science, Certified Alcohol and Drug Counselor

Lolita Isaiah

Counselor - Mental Health

NPI 1013378181
Steffany Slininger

Counselor - Mental Health

NPI 1013641711
Kelsey Dulle

Counselor

NPI 1023552551

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2017

Registered at 904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 628013058 (Tel: 6185331391)

📍
Updated Business Mailing Address November 27, 2017

Registered at 904 E. MARTIN LUTHER KING DRIVE, CENTRALIA, IL 628013058 (Tel: 6185331391)

👤
Provider Name / Credentials Updated November 27, 2017

Recorded as BETH ANGLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2017

Licensed Practical Nurse (License #043123661 in IL)

🟢
Initial NPI Registration & Enumeration November 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639683824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2017
Last Update: November 27, 2017
Sole Proprietor: No

Mailing Address

904 E. Martin Luther King Drive

Centralia, IL 628013058

Phone: 6185331391

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.