Provider Demographics
NPI:1780426650
Name:NYP, ANGELA (RD, LD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:NYP
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12160 214TH ST
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66052-4033
Mailing Address - Country:US
Mailing Address - Phone:913-735-3697
Mailing Address - Fax:
Practice Address - Street 1:12160 214TH ST
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:KS
Practice Address - Zip Code:66052-4033
Practice Address - Country:US
Practice Address - Phone:913-735-3697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1875133VN1006X, 133VN1201X, 133VN1501X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics