Individual provider Active NPI

Angela B. McCormick, MS,RD,LD

  • Registered Dietitian
  • Montgomery, AL
National Provider Identifier
1346137569
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1087950 Issued in AL
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

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20250905000567 AL Practitioner - Registered Dietitian Or Nutrition Professional 6507368909 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1087950ALMDRegistered Dietitian
2304ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Moonlight Diagnostics LLC Single Specialty CurrentSince Aug 16, 2025 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.

Verify at the official NPI Registry.