Active NPI
Angela Marie Lamberson, RD
- Registered Dietitian
- Elizabeth City, NC
National Provider Identifier
1003838491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001745
- Practice address
- 1908 N Road St
Elizabeth City, NC 27909-9343 - Phone
- (252) 335-9355
- Fax
- (844) 965-9381
- NPI assigned
- Jul 24, 2006
- Last updated
- Sep 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L001745 | NC | Primary |
Addresses
Primary practice location
1908 N Road St
Elizabeth City, NC 27909-9343
Mailing address
1908 N Road St
Elizabeth City, NC 27909-9343
Phone (252) 335-9355
Other names 1
- Miss Angela Marie Ellis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L001745 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Pair, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
1241 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-9239
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- State or Local Public Health Clinic/Center
- Elizabeth City, NC
- NPI 1659468130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1003838491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279099343",
"telephone_number": "252-335-9355",
"fax_number": "844-965-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279099343",
"telephone_number": "252-335-9355",
"fax_number": "844-965-9381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERSON",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "ELLIS",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.