Angela Maria Cuevas, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1010 Issued in MS

Practice address

4500 13TH St
Gulfport, MS 39501-2515

Phone

(228) 865-3653

Fax

(228) 867-4139

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Angela Maria Blackwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518036805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MOCKINGBIRD DR",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395603100",
            "telephone_number": "228-865-3653",
            "fax_number": "228-867-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-865-3653",
            "fax_number": "228-867-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BLACKWELL",
            "middle_name": "MARIA",
            "prefix": "MISS",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen A Crimmins, PH.D.
• Geri Svannah Croal
• Crossroads Vision LLC
• April Star Croucher, CPM
• Jason Bradley Crowder, M.D.
• Christina Holifield Cuevas, OTR/L
• Elizabeth Cuevas, LMSW
• Holly Williams Cuevas, NP-C
• Rebecca Cuevas
• Theresa L Cuevas, C.F.N.P.

• Registered Dietitian in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.