Active NPI
Angela Carol Cemo, MPH, LDN, RD, CDE
- Registered Dietitian
- Jefferson, LA
National Provider Identifier
1730316720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 835
- Practice address
- 2817 River Rd
Unit C
Jefferson, LA 70121-4168 - Phone
- (504) 301-2555
- NPI assigned
- Jun 17, 2009
- 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 | 835 | LA | Primary |
Addresses
Primary practice location
2817 River Rd
Unit C
Jefferson, LA 70121-4168
Mailing address
2817 River Rd
Unit C
Jefferson, LA 70121-4168
Phone (504) 301-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4H071 | Other | LA | MEDICARE, PART B CARRIER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 835 | LA | 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": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1730316720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 RIVER RD",
"address_2": "UNIT C",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701214168",
"telephone_number": "504-301-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 RIVER RD",
"address_2": "UNIT C",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701214168",
"telephone_number": "504-301-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEMO",
"first_name": "ANGELA",
"middle_name": "CAROL",
"credential": "MPH, LDN, RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, PART B CARRIER",
"identifier": "4H071",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.