Individual provider Active NPI

Angela W. Sanford, MS, RD, LD, CDCES

  • Registered Dietitian
  • Tuscaloosa, AL
National Provider Identifier
1710713177
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
739 Issued in AL
Practice address
1800 McFarland Blvd N Ste 150
Tuscaloosa, AL 35406-2178
Phone
(205) 759-1729
NPI assigned
Sep 11, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 739 AL Primary

Addresses

Primary practice location

1800 McFarland Blvd N Ste 150
Tuscaloosa, AL 35406-2178

Mailing address

12450 Cherokee TRL
Northport, AL 35475-2689
Phone (205) 393-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003000439 AL Practitioner - Registered Dietitian Or Nutrition Professional 7719418649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 McFarland Blvd N
Suite 150
Tuscaloosa, AL 35406-2178
Phone (205) 759-1729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
739ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Physician Network, P.C. CurrentSince Feb 3, 2025 Accepting new patients
Southeast Physician Network, P.C. CurrentSince Feb 3, 2025 Accepting new patients
Integrative Approaches to Wellness CurrentSince Oct 1, 2024 Accepting new patients

Locations

509 Energy Center Blvd
Ste 804
Northport, AL 35473
Phone 2053669740 ext. 1425

1800 McFarland Blvd N
Ste 150
Tuscaloosa, AL 35406
Phone (205) 462-7379

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1710713177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 CHEROKEE TRL",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354752689",
            "telephone_number": "205-393-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD N STE 150",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062178",
            "telephone_number": "205-759-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "ANGELA",
        "middle_name": "W.",
        "credential": "MS, RD, LD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.