Active NPI
Mitchell Vangelder, RD
- Registered Dietitian
- Bear Creek, NC
National Provider Identifier
1811464373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 8794 Siler City Glendon Rd
Bear Creek, NC 27207-9064 - Phone
- (919) 819-4850
- NPI assigned
- Nov 1, 2018
- Last updated
- Jul 17, 2024
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
8794 Siler City Glendon Rd
Bear Creek, NC 27207-9064
Mailing address
8794 Siler City Glendon Rd
Bear Creek, NC 27207-9064
Phone (919) 819-4850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137941 | Medicaid | VA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1811464373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8794 SILER CITY GLENDON RD",
"city": "BEAR CREEK",
"state": "NC",
"postal_code": "272079064",
"telephone_number": "919-819-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8794 SILER CITY GLENDON RD",
"city": "BEAR CREEK",
"state": "NC",
"postal_code": "272079064",
"telephone_number": "919-819-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGELDER",
"first_name": "MITCHELL",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-01",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137941",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bear Creek, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.