Angela Eileen Adams, RD, LD

Individual provider Active NPI Registered Dietitian · Coon Rapids, MN

NPI 1003764465 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1003764465
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
3132 (MN)
Practice address
12016 Zea St NW
Coon Rapids, MN 55433-1684
Phone
(763) 381-1606
NPI assigned
Mar 19, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3132MNMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3132 MN Yes

Addresses

Primary practice location

12016 Zea St NW
Coon Rapids, MN 55433-1684

Mailing address

12016 Zea St NW
Coon Rapids, MN 55433-1684
Phone (763) 381-1606

Other providers in Coon Rapids, MN

All providers in Coon Rapids, MN · Registered Dietitian in Minnesota

Sources for this page

Verify at the official NPI Registry.