Active NPI
Angela Brochu, RD
- Registered Dietitian
- Yountville, CA
National Provider Identifier
1144412156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 884635
- Practice address
- 180 California Dr
Yountville, CA 94599-1411 - Phone
- (707) 944-4862
- NPI assigned
- Aug 14, 2007
- 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 | 884635 | ME | Primary |
Addresses
Primary practice location
180 California Dr
Yountville, CA 94599-1411
Mailing address
180 California Dr
Yountville, CA 94599-1411
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 |
|---|---|---|---|
| 884635 | ME | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1144412156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 CALIFORNIA DR",
"city": "YOUNTVILLE",
"state": "CA",
"postal_code": "945991411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 CALIFORNIA DR",
"city": "YOUNTVILLE",
"state": "CA",
"postal_code": "945991411",
"telephone_number": "707-944-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCHU",
"first_name": "ANGELA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "884635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yountville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.