Individual provider Active NPI

Angela Kerry Dobrzykowski, MS, RD, CSP, LDN

  • Pediatric Nutrition Registered Dietitian
  • Towson, MD
National Provider Identifier
1326203563
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
DX2715 Issued in MD
Practice address
903 Cromwell Bridge Rd
Towson, MD 21286-3323
Phone
(410) 601-5727
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered Dietitian 133VN1004X DX2715 MD Primary
Registered Dietitian 133V00000X DX2715 MD

Addresses

Primary practice location

903 Cromwell Bridge Rd
Towson, MD 21286-3323

Mailing address

1122 Kenilworth Dr
Suite 301
Towson, MD 21204-2139
Phone (717) 475-9970

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DX2715MDMDPediatric Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1326203563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR",
            "address_2": "SUITE 301",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042139",
            "telephone_number": "717-475-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CROMWELL BRIDGE RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863323",
            "telephone_number": "410-601-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRZYKOWSKI",
        "first_name": "ANGELA",
        "middle_name": "KERRY",
        "credential": "MS, RD, CSP, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MD",
            "license": "DX2715",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

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