Active NPI
Angela B. McCormick, MS,RD,LD
- Registered Dietitian
- Montgomery, AL
National Provider Identifier
1346137569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1087950
- Practice address
- 3186 Parliament Cir Ste 9023186
Montgomery, AL 36116-7271 - Phone
- (334) 416-8298
- Fax
- (833) 260-4473
- NPI assigned
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 1087950 | AL | Primary |
Addresses
Primary practice location
3186 Parliament Cir Ste 9023186
Montgomery, AL 36116-7271
Mailing address
3186 Parliament Cir Ste 902
Montgomery, AL 36116-7271
Phone (334) 416-8298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3186 Parliament Cir
Suite 902
Montgomery, AL 36116-7271
3188 Parliament Cir
Suite 902
Montgomery, AL 36116-7271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1087950 | AL | MD | Registered Dietitian |
| 2304 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moonlight Diagnostics LLC | Single Specialty | Current | 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": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1346137569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3186 PARLIAMENT CIR STE 902",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361167271",
"telephone_number": "334-416-8298",
"fax_number": "833-260-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3186 PARLIAMENT CIR STE 9023186",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361167271",
"telephone_number": "334-416-8298",
"fax_number": "833-260-4473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "ANGELA",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "MS,RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "1087950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.