Active NPI
Angela Peralta, RDN, LD
- Registered Dietitian
- Rockwall, TX
National Provider Identifier
1609204213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 954123
- Practice address
- 519 E Interstate 30 # 1052
Rockwall, TX 75087-5408 - Phone
- (469) 887-1344
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 954123 | GA | Primary |
Addresses
Primary practice location
519 E Interstate 30 # 1052
Rockwall, TX 75087-5408
Mailing address
3680 Avalon Park East Blvd Ste 310
Orlando, FL 32828-9374
Other practice location 1
3680 Avalon Park East Blvd Ste 310
Orlando, FL 32828-9374
Phone (478) 365-8825
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954123 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751068800000",
"number": "1609204213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 AVALON PARK EAST BLVD STE 310",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328289374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 E INTERSTATE 30 # 1052",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750875408",
"telephone_number": "469-887-1344"
}
],
"practiceLocations": [
{
"address_1": "3680 Avalon Park East Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328289374",
"country_code": "US",
"telephone_number": "478-365-8825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERALTA",
"first_name": "ANGELA",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2025-06-28",
"certification_date": "2025-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "954123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.