Healthcare Provider Details

I. General information

NPI: 1992006613
Provider Name (Legal Business Name): ANGELA HILL C.D., C.P.P.D., SBD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2010
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1362 N JOHNSON RD
LONOKE AR
72086-8380
US

IV. Provider business mailing address

1362 N JOHNSON RD
LONOKE AR
72086-8380
US

V. Phone/Fax

Practice location:
  • Phone: 314-328-9662
  • Fax:
Mailing address:
  • Phone: 314-328-9662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number7861-C-48
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number2015-TTH-000173
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number7861-53
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberSBD20110428
License Number StateMO
# 5
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number7861-C-48
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: