Individual provider Active NPI

Angela Stephens

  • Registered Dietitian
  • Minneapolis, MN
National Provider Identifier
1134523483
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3324 Issued in MN
Practice address
910 E 26TH St
Suites 100-200
Minneapolis, MN 55404-4526
Phone
(612) 884-6300
Fax
(612) 884-6363
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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 3324 MN Primary

Addresses

Primary practice location

910 E 26TH St
Suites 100-200
Minneapolis, MN 55404-4526

Mailing address

910 E 26TH St
Suites 100-200
Minneapolis, MN 55404-4526
Phone (612) 884-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141114001540 MN Practitioner - Registered Dietitian Or Nutrition Professional 8123240793 Reassigns benefits to 1 organization
I20241107000569 WI Practitioner - Registered Dietitian Or Nutrition Professional 8123240793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
72.38
Promoting interoperability
98
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology, PA Dietitian, Registered CurrentSince Aug 31, 2024 Accepting new patients
Minnesota Oncology Hematology, PA Dietitian, Registered CurrentSince Feb 21, 2020 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

675 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

480 Osborne Rd NE
Ste 220
Minneapolis, MN 55432
Phone (763) 786-1620

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

6545 France Ave S
Ste 210
Minneapolis, MN 55435
Phone (952) 928-2900

11850 Blackfoot St NW
Ste 100
Minneapolis, MN 55433
Phone (763) 712-2100

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

2550 University Ave W
Ste 110N
Saint Paul, MN 55114
Phone (651) 602-5309

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

6025 Lake Rd
Ste 110
Woodbury, MN 55125
Phone (651) 735-7414

2651 Hillcrest Dr
Ste 105
Hudson, WI 54016
Phone (715) 280-9151

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1134523483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E 26TH ST",
            "address_2": "SUITES 100-200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044526",
            "telephone_number": "612-884-6300",
            "fax_number": "612-884-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 26TH ST",
            "address_2": "SUITES 100-200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044526",
            "telephone_number": "612-884-6300",
            "fax_number": "612-884-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.

Verify at the official NPI Registry.