Active NPI
Angela Christine Storck-Petersen, MPH, MS, RD/LD, CEDS
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1346623634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1051996
- Practice address
- 2109 Lone Desert St
Las Vegas, NV 89135-1117 - Phone
- (877) 811-1178
- Fax
- (877) 811-1178
- NPI assigned
- Jul 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1051996 | NV | Primary |
Addresses
Primary practice location
2109 Lone Desert St
Las Vegas, NV 89135-1117
Mailing address
2109 Lone Desert St
Las Vegas, NV 89135-1117
Phone (877) 811-1178
Other names 1
- Ms. Angela Christine Harvel
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1051996 | NV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nature & Nurture Nutrition Therapy | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Registered Dietitian
- Las Vegas, NV
- NPI 1447072186
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1346623634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 LONE DESERT ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351117",
"telephone_number": "877-811-1178",
"fax_number": "877-811-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 LONE DESERT ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351117",
"telephone_number": "877-811-1178",
"fax_number": "877-811-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORCK-PETERSEN",
"first_name": "ANGELA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "MPH, MS, RD/LD, CEDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-04",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "1051996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "HARVEL",
"middle_name": "CHRISTINE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.