Dizgrow PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIZGROW PLLC

Practice address

322 Susan Dr Ste C1
Normal, IL 61761-6260

Phone

(701) 484-2217

Fax

(309) 322-6475

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Angela K Disbrow, MS RD LDNNPI 1205537941

Title

Owner

Phone

(309) 828-6157

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Kaye Disbrow

  • Registered Dietitian
  • Bloomington, IL
  • NPI 1205537941

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1528822079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 BERRYWOOD LN",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042433",
            "telephone_number": "309-828-6157",
            "fax_number": "309-322-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 SUSAN DR STE C1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616260",
            "telephone_number": "701-484-2217",
            "fax_number": "309-322-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIZGROW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "DISBROW",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-828-6157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Diller, LAT, ATC
• Thomas Diller, M.D.
• Lauren N Dinnsen
• Abbey Joelle Disalvo
• Discovery of Hope Counseling and Psychological Services PLLC
• Artur Djagarian, MD
• Graceaanne Marissa Dodd
• Kelli Dohman-Schmidler
• Breanne Dominguez
• Bryan Joseph Domitrz, ATC, LAT

• Registered Dietitian in Normal, IL
• Providers in Normal, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.