Angela Tavolacci, BSNS

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

5914 Westchester St
Alexandria, VA 22310-1139

Phone

(269) 277-3795

NPI assigned

Feb 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Angela Watts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1205337102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 WESTCHESTER ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101139",
            "telephone_number": "269-277-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 WESTCHESTER ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101139",
            "telephone_number": "269-277-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVOLACCI",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "BSNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WATTS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hammad Tatari
• Susan Connor Tatum, LCSW
• Karen Taubenslag
• Kambiz Tavakkoli, D.M.D
• Kamran Tavakkoli, D.M.D
• Bibiwanhida Tawakalyar
• George W Tawil, MD
• Perdita Taylor-Zapata, M.D.
• Alexys Taylor, OTR/L
• Brittany M Taylor, M.D.

• Nutrition Education Nutritionist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Nutrition Education Nutritionist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.