Angela Lynn Larson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3806 S Medford Dr
Lufkin, TX 75901-5780

Phone

(936) 632-1996

NPI assigned

Feb 8, 2018

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1003315763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 APRIL DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043252",
            "telephone_number": "936-404-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015780",
            "telephone_number": "936-632-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracie Laird, PTA
• Gloria Cervantes Lamkin, LCSW
• Carmon L Lampley-Roberts, OD
• David Lynn Larned, MD
• Tammy R. Larned, MSN, RN
• Christie Pheona Lathan, FNP-BC
• Patricia Gay Lawson, NP
• William Kyle Lawson
• Kelsey Leer, PHARMD
• Lori Michelle Lewing, LPC

• Registered Dietitian in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.