Active NPI
Marietta Amatangelo, RDN/LDN
- Registered Dietitian
- Gaithersburg, MD
National Provider Identifier
1861821431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D02264
- Practice address
- 927 Russell Ave Ste B
Gaithersburg, MD 20879-6222 - Phone
- (240) 426-9509
- NPI assigned
- Nov 5, 2013
- Sex
- Female
- 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 | D02264 | MD | Primary |
Addresses
Primary practice location
927 Russell Ave Ste B
Gaithersburg, MD 20879-6222
Mailing address
11532 Seneca Forest Cir
Germantown, MD 20876-4342
Phone (240) 426-9509
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D02264 | MD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1861821431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11532 SENECA FOREST CIR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764342",
"telephone_number": "240-426-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 RUSSELL AVE STE B",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208796222",
"telephone_number": "240-426-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMATANGELO",
"first_name": "MARIETTA",
"credential": "RDN/LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D02264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.