Angela McKelvey, RD, DTR
Individual provider Active NPI Registered Dietitian · Brightwaters, NY
NPI 1912759887 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1912759887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 10 Phelps Dr
Brightwaters, NY 11718-1421 - Phone
- (631) 220-8959
- NPI assigned
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
10 Phelps Dr
Brightwaters, NY 11718-1421
Mailing address
10 Phelps Dr
Brightwaters, NY 11718-1421
Phone (631) 220-8959
Other providers in Brightwaters, NY
- Thomas Andrew Marchese
- Stephanie Masullo
- Matrix Medical Wound Care PLLC
- Raymond Francis Mattfeld
- Patricia Ann McCarren
- Medical Qualified Service of Suffolk County New York PLLC
- Christian Montanez
- Joann Muniz Sheets
- North Shore Long Island Jewish Healthcare Inc.
- Debra O'Keefe
All providers in Brightwaters, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.