Angela Mary Durant, MS, RDN, CDN
Individual provider Active NPI Registered Dietitian · Wilton, NY
NPI 1124844899 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1124844899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 860293 (NY)
- Practice address
- 665 Saratoga Rd Ste 400
Wilton, NY 12831-1694 - Phone
- (518) 580-2185
- NPI assigned
- Nov 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saratoga Hospital
Practice addresses (Care Compare)
3044 RT 50
Saratoga Center for Endocrinology and Diabe
Saratoga, NY 12866-2906
Phone (518) 886-5800
665 Saratoga Rd
Suite 400
Gansevoort, NY 12831-1694
Phone (518) 363-8815
Hospital & facility affiliations
- Saratoga Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060105000726 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 7113940081 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 860293 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Hospital | Current |
Accepting new patients | |
| Saratoga Hospital | Current |
Accepting new patients |
Locations
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800
665 Saratoga Rd
Ste 400
Wilton, NY 12831
Phone (518) 580-2185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 005322 | NY | |
| Registered Dietitian | 133V00000X | 860293 | NY | Yes |
Addresses
Primary practice location
665 Saratoga Rd Ste 400
Wilton, NY 12831-1694
Mailing address
PO Box 361
Keene, NY 12942-0361
Phone (518) 538-4298
Other names
- Angela Mary Gray
Other providers in Wilton, NY
- Sophie Paige Collura
- Michael Joseph Crook
- CVS Albany LLC
- Kimberly A Dobrodziej
- Richard Dunham
- Edmund Francis Fallon
- Paul R Flatley
- Gary J Frasier II
- Michelle Frey
- Glens Falls Hospital Inc
All providers in Wilton, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.