Active NPI
Angelia Marie Arnold, RD, LD
- Renal Nutrition Registered Dietitian
- Dothan, AL
National Provider Identifier
1114029758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 169ST
- Practice address
- 1763 E Main St
Dothan, AL 36301-3045 - Phone
- (334) 793-3319
- Fax
- (334) 793-2291
- NPI assigned
- Sep 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 169ST | AL | Primary |
Addresses
Primary practice location
1763 E Main St
Dothan, AL 36301-3045
Mailing address
426 Blake Dr
Ozark, AL 36360-6218
Phone (334) 796-1178
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169ST | AL | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114029758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 BLAKE DR",
"city": "OZARK",
"state": "AL",
"postal_code": "363606218",
"telephone_number": "334-796-1178",
"fax_number": "334-793-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1763 E MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013045",
"telephone_number": "334-793-3319",
"fax_number": "334-793-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "ANGELIA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "AL",
"license": "169ST",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.