Angelia M Jaeger, C.N.S., C.D.N.

Primary specialty

NutritionistTaxonomy code 133N00000X

License

48008890 Issued in NY

Practice address

1515 Kensington Ave
Buffalo, NY 14215-1436

Phone

(716) 404-5444

NPI assigned

Jan 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1679010946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BLACKMON RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722219",
            "telephone_number": "716-997-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KENSINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151436",
            "telephone_number": "716-404-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "ANGELIA",
        "middle_name": "M",
        "credential": "C.N.S., C.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "48008890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa J Jacobsen, MD, MPH
• Nina Elizabeth Agnes Jacobsen
• Hillary Jacobson
• Judith Lynne Jacumski, N.P.
• Jadab Kumar Bhattacharyya MD PC
• Behrouz Jafari, M.D.
• Katherine M Jafari, MSW
• Rachel Jaffray
• Mohammad T. Jaffri, MD
• Mubeen Ali Jaffri, MD

• Nutritionist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.