Individual provider Active NPI

Victoria Rose Angelle, REGISTERED DIETITIAN

  • Registered Dietitian
  • Webster, TX
National Provider Identifier
1093390296
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82942 Issued in TX
Practice address
600 N Kobayashi Ste 312
Webster, TX 77598-4841
Phone
(281) 337-3079
Fax
(832) 504-9312
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT82942 TX Primary

Addresses

Primary practice location

600 N Kobayashi Ste 312
Webster, TX 77598-4841

Mailing address

PO Box 58538
Webster, TX 77598-8538
Phone (281) 337-3079

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1093390296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58538",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988538",
            "telephone_number": "281-337-3079",
            "fax_number": "832-504-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N KOBAYASHI STE 312",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984841",
            "telephone_number": "281-337-3079",
            "fax_number": "832-504-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELLE",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-02-27",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.