Active NPI
Lisa Kay Deangelo, RD
- Registered Dietitian
- Tazewell, VA
National Provider Identifier
1356129571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 948481
- Practice address
- 388 Ben Bolt Ave
Tazewell, VA 24651-5386 - Phone
- (276) 202-5079
- NPI assigned
- Sep 19, 2023
- 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 | 948481 | Primary |
Addresses
Primary practice location
388 Ben Bolt Ave
Tazewell, VA 24651-5386
Mailing address
140 Sayers St
Cedar Bluff, VA 24609-9358
Phone (276) 385-8348
Other names 1
- Ms. Lisa Kay Deangelo
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1356129571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SAYERS ST",
"city": "CEDAR BLUFF",
"state": "VA",
"postal_code": "246099358",
"telephone_number": "276-385-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 BEN BOLT AVE",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246515386",
"telephone_number": "276-202-5079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANGELO",
"first_name": "LISA",
"middle_name": "KAY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "948481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "DEANGELO",
"middle_name": "KAY",
"prefix": "MS.",
"credential": "LISA KAY SAYERS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tazewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.