Michael Angeletti, MS RD CSCS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000577 Issued in CT

Practice address

2513 Biggs Ave
37 Amds/SGPZ
Lackland Afb, TX 78236

Phone

(210) 671-7481

Fax

(210) 447-9547

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1790772549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 BIGGS AVE",
            "address_2": "37 AMDS/SGPZ",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-671-7481",
            "fax_number": "210-447-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 BIGGS AVE",
            "address_2": "37 AMDS/SGPZ",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-671-7481",
            "fax_number": "210-447-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELETTI",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MS RD CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 59TH MDW-Whasc-Lackland
• Linda J. Aadland-Lassandro
• Collins Abere
• Karla Elizabeth Adams, MD
• Raul Alfonso Aguilar, M.D.
• Carmen Edward Arnoni Jr., IDMT
• Karrn Elizabeth Bales, DO
• Sharon R. Bannister, DDS,MS
• Kathryn Grace Barenberg, M.D.
• Laura E Barnes, O.D.

• Registered Dietitian in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.