ANGELA E MACK (NPI# 1902991078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902991078 |
| Entity Type | Individual |
| Full Name | ANGELA E MACK |
| Credential | RD |
| Practice Address |
2000 Lake Ave Woodstock IL 60098-7401 |
| Practice Telephone | 8153377100 |
| Mailing Telephone | 8153377100 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 1794-029 | WI | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 1794-029 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647975 | Angela Mack | Speech-Language Pathologist | 5 Walter St, East Haven, CT 06512-2744 | 2020-10-23 |
| 1639726532 | Angela Polite Mack | Counselor | 1109 White Hall Rd, Yemassee, SC 29945-5319 | 2019-08-25 |
| 1891252128 | Angela Mack | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-02-22 |
| 1356675334 | Angela Louise Mack | Pharmacist | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2009-09-24 |
| Street Address |
2000 LAKE AVE |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389953 | Anil K Khemani | Internal Medicine | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2005-07-12 |
| 1497373286 | Michelle T Gahgan | Nurse Practitioner | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2020-07-08 |
| 1417456476 | Matthew R. Banks | Physical Therapy Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2018-02-06 |
| 1801247176 | Guoqing Song | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2016-06-28 |
| 1114398930 | Norman J Mecwan | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2015-10-20 |
| 1669883971 | Jenna M Raju | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-05-09 |
| 1508281114 | Lawrence Thomas Walsh Jr. | Pharmacist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-02-19 |
| 1548696404 | Laura Lynn Dickman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-09-23 |
| 1922346220 | Naomi M Tamparong | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-01-21 |
| 1649523838 | Kelly Marie Winkelman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
| 1083232680 | Jesell Zepeda | Dietitian, Registered | 905 Hickory Rd, Woodstock, IL 60098-2779 | 2020-07-09 |
| 1649809401 | Lisa Michelle Ellenberger | Dietitian, Registered | 316 Lakestone Lndg, Woodstock, GA 30188-5428 | 2020-04-03 |
| 1194359745 | Alec Pienta | Dietitian, Registered | 411 Raven Mocker Ln, Woodstock, GA 30189-2580 | 2020-02-22 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1942708649 | Magda Lia Bullock | Dietitian, Registered | 759 S. Main Street, Woodstock, VA 22664 | 2018-01-28 |
| 1508316092 | Carly Cooley | Dietitian, Registered | 1726 Stultz Gap Rd, Woodstock, VA 22664-3312 | 2016-10-07 |
| 1275906877 | Stacia Riffe | Dietitian, Registered | 2125 Greenview Dr, Woodstock, IL 60098-7016 | 2015-11-04 |
| 1275805475 | Marla Stromberg | Dietitian, Registered | 102 Mirramont Lake Dr, Woodstock, GA 30189-8213 | 2012-02-02 |
| 1811206022 | Julie Taylor Rambo | Dietitian, Registered | 801 Montclaire Pl, Woodstock, GA 30189-5219 | 2010-10-05 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.