Active NPI
Angela Houlie, RDN, CDN
- Registered Dietitian
- Hicksville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010648
- Practice address
- 142 Princess St
Hicksville, NY 11801-1100 - Phone
- (516) 592-2974
- NPI assigned
- Jul 6, 2021
- 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 | 010648 | NY | Primary |
Addresses
Primary practice location
142 Princess St
Hicksville, NY 11801-1100
Mailing address
142 Princess St
Hicksville, NY 11801-1100
Phone (516) 592-2974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
317 6TH Ave
Suite 400
Des Moines, IA 50309-4037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Fruitful Body Nutrition PLLC | Dietitian, Registered | Current | Accepting new patients |
| Openloop Healthcare Partners PC | Dietitian, Registered | Current | Accepting new patients |
| Openloop Healthcare Partners New Jersey PC | Dietitian, Registered | Past | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Openloop Healthcare Partners California PC | Dietitian, Registered | Past | Accepting new patients |
Locations
3707 E Southern Ave
#12
Mesa, AZ 85206
Phone (224) 430-7848
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800
28 Liberty St
New York, NY 10005
Phone (415) 205-1229
80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122
11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
Dietitian, Registered, NY
-
- Registered Dietitian
- Hicksville, NY
- NPI 1285304204
Dietitian, Registered
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
Dietitian, Registered
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1033780606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 PRINCESS ST",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118011100",
"telephone_number": "516-592-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 PRINCESS ST",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118011100",
"telephone_number": "516-592-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOULIE",
"first_name": "ANGELA",
"credential": "RDN, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.