Angela Freed, CN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NU60375587 Issued in WA

Practice address

24060 SE Kent Kangley Rd
Suite D100
Maple Valley, WA 98038-6801

Phone

(425) 433-0123

Fax

(425) 433-0733

NPI assigned

Dec 31, 2013

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

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": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1992126437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24060 SE KENT KANGLEY RD",
            "address_2": "SUITE D100",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386801",
            "telephone_number": "425-433-0123",
            "fax_number": "425-433-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24060 SE KENT KANGLEY RD",
            "address_2": "SUITE D100",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386801",
            "telephone_number": "425-433-0123",
            "fax_number": "425-433-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "ANGELA",
        "credential": "CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU60375587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.