Angela Michelle Street, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

876892 Issued in GA

Practice address

103 Mercer Dr Ste B
Dublin, GA 31021-4257

Phone

(478) 274-3012

Fax

(478) 274-7719

NPI assigned

Aug 12, 2019

Last updated

Aug 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laurens County Board of Health

  dba Ryan White Clinic

  • Public Health or Welfare Agency
  • Dublin, GA
  • NPI 1841505641

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1457907958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E JACKSON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216113",
            "telephone_number": "478-274-3012",
            "fax_number": "478-274-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MERCER DR STE B",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214257",
            "telephone_number": "478-274-3012",
            "fax_number": "478-274-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "876892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aja Stokes, RD
• Lisa Marie Strange, LPN
• April Rae Stratford, D.C.
• Jeffrey Brian Stratford, DC
• Aaron Todd Street, CRNA
• Regina L Stubbs, FNP-C
• Sunny Peak Radiology Providers LLC
• Francis Surine Jr., FNP-C
• Jesse Sutherland
• Kristopher Michael Sutter, MSW, LISW-S

• Registered Dietitian in Dublin, GA
• Providers in Dublin, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.