Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972060440 Individual Practitioner Female Practitioner

Angela Charisse Green , RDN

Dietitian, Registered • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Angela Green, RDN is a registered healthcare professional specializing in Dietitian, Registered in Brandon, FL. Practice services are available at 1108 SUMMER BREEZE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1108 Summer Breeze Dr

Brandon, FL 335114079

Telephone 2142574480

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Brandon, FL (3492 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License FL 86028496

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 27, 2019

Registered at 1108 SUMMER BREEZE DR, BRANDON, FL 335114079 (Tel: 2142574480)

📍
Updated Business Mailing Address November 27, 2019

Registered at 1108 SUMMER BREEZE DR, BRANDON, FL 335114079 (Tel: 2142574480)

👤
Provider Name / Credentials Updated November 27, 2019

Recorded as ANGELA GREEN, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2019

Dietitian, Registered (License #86028496 in FL)

NPI Profile Active February 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2019

Registered at 126 STANFORD, FORNEY, TX 751269762 (Tel: 4695020102)

📍
Updated Business Mailing Address February 20, 2019

Registered at 126 STANFORD, FORNEY, TX 751269762 (Tel: 4695020102)

👤
Provider Name / Credentials Updated February 20, 2019

Recorded as ANGELA GREEN, DTR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2019

Dietetic Technician, Registered (License #86028496 in TX)

🟢
Initial NPI Registration & Enumeration February 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972060440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2019
Last Update: November 27, 2019
Sole Proprietor: Yes

Mailing Address

1108 Summer Breeze Dr

Brandon, FL 335114079

Phone: 2142574480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.