Individual provider Active NPI

Sandra Kay McDonald-Hangach, RDN

  • Renal Nutrition Registered Dietitian
  • Hazel Park, MI
National Provider Identifier
1184109969
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Practice address
23231 John R Rd
Hazel Park, MI 48030-1476
Phone
(248) 545-0261
Fax
(248) 545-0342
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X Primary

Addresses

Primary practice location

23231 John R Rd
Hazel Park, MI 48030-1476

Mailing address

5816 Amboy St
Dearborn Heights, MI 48127
Phone (313) 318-3086

Other practice location 1

5816 Amboy St
Dearborn Heights, MI 48127
Phone (313) 318-3086

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

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1184109969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 AMBOY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48127",
            "telephone_number": "313-318-3086",
            "fax_number": "248-545-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23231 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301476",
            "telephone_number": "248-545-0261",
            "fax_number": "248-545-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5816 Amboy St",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "48127",
            "country_code": "US",
            "telephone_number": "313-318-3086",
            "fax_number": "248-545-0342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD-HANGACH",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.