Angela W. Sanford, MS, RD, LD, CDCES
NPI 1710713177ActiveIndividual· Dietitian, Registered· Tuscaloosa, AL
Dietitian, Registered (MS, RD, LD, CDCES) with Southeast Physician Network, P.C., practicing in Tuscaloosa, Alabama. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1710713177 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LD, CDCES |
| Sole proprietor | No |
| NPI issued | Sep 11, 2024 |
| Last updated in NPPES | Sep 11, 2024 |
| Certified by provider | Sep 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 739 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (AL) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Southeast Physician Network, P.C.Tuscaloosa, AL · 46 clinicians
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All 28 registered dietitians in Tuscaloosa · All registered dietitians in Alabama