Angela Wolfenberger, RDN
Individual provider Active NPI Registered Dietitian · Butler, TN
NPI 1699217406 · NPPES record last updated Nov 10, 2016
Key facts
- NPI
- 1699217406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 984 Piercetown Rd
Butler, TN 37640-5010 - Phone
- (917) 747-4331
- NPI assigned
- Nov 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queen'S Medical Center | Past | Accepting new patients | |
| Queens University Medical Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
984 Piercetown Rd
Butler, TN 37640-5010
Mailing address
PO Box 423
Mountain City, TN 37683-0423
Phone (917) 747-4331
Other providers in Butler, TN
- Charmaine Arnetta Crowe
- Patricia Scott
- Amber Lynn Taylor
- Ilse Wagenbach
- Watauga Lake Family Medicine PC
All providers in Butler, TN · Registered Dietitian in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.