Angela Guest Vandenbark, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1153 Issued in OK

Practice address

2013 Primrose LN
Chandler, OK 74834-9518

Phone

(405) 258-8081

NPI assigned

Aug 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelavandenbark@rwhstroud.medalliesdirect.net

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.

• Rha Stroud Inc

  • Critical Access Hospital
  • Stroud, OK
  • NPI 1437107117
  NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1356896799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 PRIMROSE LN",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748349518",
            "telephone_number": "405-258-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 PRIMROSE LN",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748349518",
            "telephone_number": "405-258-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBARK",
        "first_name": "ANGELA",
        "middle_name": "GUEST",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1153",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OK",
            "license": "1153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karie M. Talkington, M.ED; LPC-S; CSP; NC
• Tiffany Talley
• Valerie Taylor, CBHCM-CAF
• Todd L Thompson Sr., RPBT
• Wynona Irene Tucker, LMFT CANDIDATE
• Jolene Vaughan
• Vitruvian Chiropractic
• Wal-Mart Stores East LP
• Alyse Walker, LPC
• Marrisa Walker

• Registered Dietitian in Chandler, OK
• Providers in Chandler, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.