Teresa Pangan, PHD, RDN
NPI 1962271098ActiveIndividual· Dietitian, Registered· Bettendorf, IA
Dietitian, Registered (PHD, RDN) in Bettendorf, Iowa, licensed in IL and IA, with an NPI issued in December 2023. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1962271098 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, RDN |
| Sole proprietor | No |
| NPI issued | Dec 29, 2023 |
| Last updated in NPPES | Dec 29, 2023 |
| Certified by provider | Dec 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 164007279 | IL |
| Dietitian, Registered | 133V00000X | 072249 | IA |
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 (IL) |
|---|
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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