NPIMap

Organization Active NPI

San Angelo'S Nutrition & Diabetic Education Center

  • Nutrition Education Nutritionist
  • San Angelo, TX
National Provider Identifier
1932403573
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
SAN ANGELO'S NUTRITION & DIABETIC EDUCATION CENTER
Practice address
2901 Sherwood Way
Suite 100
San Angelo, TX 76901-3586
Phone
(325) 212-0319
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melanie L Baumgartner
Title
Administrator
Phone
(325) 212-0319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

2901 Sherwood Way
Suite 100
San Angelo, TX 76901-3586

Mailing address

2901 Sherwood Way
Suite 100
San Angelo, TX 76901-3586
Phone (325) 212-0319

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1932403573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SHERWOOD WAY",
            "address_2": "SUITE 100",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013586",
            "telephone_number": "325-212-0319",
            "fax_number": "325-617-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SHERWOOD WAY",
            "address_2": "SUITE 100",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013586",
            "telephone_number": "325-212-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO'S NUTRITION & DIABETIC EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-212-0319"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.