Active NPI
Andrea M. Spangler, R.D., CSP
- Registered Dietitian
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- RD000967639
- Practice address
- 1000 E Broad St
Richmond, VA 23219 - Phone
- (804) 828-2467
- Fax
- (804) 628-0267
- NPI assigned
- Nov 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 | RD000967639 | VA | Primary |
Addresses
Primary practice location
1000 E Broad St
Richmond, VA 23219
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other practice location 1
1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-2467
Other names 1
- Ms. Andrea Masemer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RD000967639 | VA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients |
Locations
1000 E Broad St
Richmond, VA 23219
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1649600123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23219",
"telephone_number": "804-828-2467",
"fax_number": "804-628-0267"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-0267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPANGLER",
"first_name": "ANDREA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "R.D., CSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "RD000967639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "MASEMER",
"prefix": "MS.",
"credential": "R.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.