Active NPI
Angela Renee Valdez, MS, RD, LD, CDE
- Registered Dietitian
- Barrow, AK
National Provider Identifier
1962536847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 176
- Practice address
- 1296 Agvik St.
Barrow, AK 99723-0029 - Phone
- (907) 852-9372
- Fax
- (907) 852-2163
- NPI assigned
- Mar 15, 2007
- 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 | 176 | AK | Primary |
Addresses
Primary practice location
1296 Agvik St.
Barrow, AK 99723-0029
Mailing address
PO Box 29
1296 Agvik Street
Barrow, AK 99723-0029
Phone (907) 852-9372
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176 | AK | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962536847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"address_2": "1296 AGVIK STREET",
"city": "BARROW",
"state": "AK",
"postal_code": "997230029",
"telephone_number": "907-852-9372",
"fax_number": "907-852-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1296 AGVIK ST.",
"city": "BARROW",
"state": "AK",
"postal_code": "997230029",
"telephone_number": "907-852-9372",
"fax_number": "907-852-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "ANGELA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barrow, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.