Angela Walt, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1555 South Blvd E Ste 360
Rochester Hills, MI 48307-5759

Phone

(248) 267-5750

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angela Nantais Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1982170825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR STE 203",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744",
            "telephone_number": "248-585-8265",
            "fax_number": "248-585-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 360",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075759",
            "telephone_number": "248-267-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALT",
        "first_name": "ANGELA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NANTAIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co
• Monique Walk, NP
• Rubi Walker, BS,MS
• Elise F Wallace, MD
• Catherine Ann Waller, M.D.
• Sara Walters, ANP-BC
• Abdul Waqas, MD
• Warby Parker Inc.
• Nicole Waring
• Laura Lynn Warner, M.D.

• Registered Dietitian in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.