Angela Marie Colburn, MS, RD, LD
Individual provider Active NPI Registered Dietitian · Anchorage, AK
NPI 1396217261 · NPPES record last updated Dec 17, 2018
Key facts
- NPI
- 1396217261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 123498 (AK)
- Practice address
- 2751 Debarr Rd Ste 250
Anchorage, AK 99508-6818 - Phone
- (419) 494-2324
- NPI assigned
- Dec 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123498 | AK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Durable Medical Equipment of Alaska LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 123498 | AK | Yes |
Addresses
Primary practice location
2751 Debarr Rd Ste 250
Anchorage, AK 99508-6818
Mailing address
8200 Resurrection Dr
Anchorage, AK 99504-4735
Phone (419) 449-2324
Other providers in Anchorage, AK
- Jessica Marie Coil
- Michael Coker
- Kendrick Colasito
- Heather K Colberg
- Ian Colbert
- Holly Colburn
- Darenell Cole
- David Ray Cole
- Donovan Cole
- Ellen Cole
All providers in Anchorage, AK · Registered Dietitian in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.