Individual provider Active NPI

Angela Myers, R.D., L.D.N.

  • Registered Dietitian
  • East Bangor, PA
National Provider Identifier
1598882680
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003405 Issued in PA
Practice address
327 Chestnut St
St. Luke's University Health Network Warren Campus
East Bangor, PA 18013-2224
Phone
(908) 859-6700
NPI assigned
Mar 23, 2007
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003405 PA Primary

Addresses

Primary practice location

327 Chestnut St
St. Luke's University Health Network Warren Campus
East Bangor, PA 18013-2224

Mailing address

434 Keystone Ave
Emmaus, PA 18049-2610
Phone (610) 967-3257

Other names 1

  • Angela Kiechel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN003405PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1598882680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 KEYSTONE AVE",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492610",
            "telephone_number": "610-967-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CHESTNUT ST",
            "address_2": "ST. LUKE'S UNIVERSITY HEALTH NETWORK WARREN CAMPUS",
            "city": "EAST BANGOR",
            "state": "PA",
            "postal_code": "180132224",
            "telephone_number": "908-859-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ANGELA",
        "credential": "R.D., L.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KIECHEL",
            "credential": "R.D.L.D.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.