Individual provider Active NPI

Angela Spencer, MS, RD, LD, CTTS, CH

  • Registered Dietitian
  • Richmond, VA
National Provider Identifier
1194294942
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2018026835 Issued in VA
Practice address
2924 Emerywood Pkwy Ste 103
Richmond, VA 23294-3746
Phone
(804) 527-0815
NPI assigned
Nov 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 1019447 VA
Registered Dietitian 133V00000X 2018026835 VA Primary

Addresses

Primary practice location

2924 Emerywood Pkwy Ste 103
Richmond, VA 23294-3746

Mailing address

2924 Emerywood Pkwy Ste 103
Richmond, VA 23294-3746
Phone (804) 527-0815

Other identifiers 2

IdentifierTypeStateIssuer
1019447OtherVACDR
2018026835OtherVALD

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2018026835VAMDRegistered Dietitian
1019447VAMDMetabolic Nutrition Registered Dietitian
2367KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vera Whole Health Wa PC Past Accepting new patients

Organizations & group practices 1

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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1194294942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 EMERYWOOD PKWY STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943746",
            "telephone_number": "804-527-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 EMERYWOOD PKWY STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943746",
            "telephone_number": "804-527-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ANGELA",
        "credential": "MS, RD, LD, CTTS, CH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "VA",
            "license": "1019447",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "2018026835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "1019447",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LD",
            "identifier": "2018026835",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.