Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Theobald, APRN, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1215822291

Angela Theobald, APRN, AGPCNP-BC is a Nurse Practitioner in Dallas, Texas. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone: (214) 947-6700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 1194745 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 1194745 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 1194745 (TX)

Record details

NPI number1215822291
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGPCNP-BC
Sole proprietorNo
NPI enumeratedJune 11, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dallas