Individual provider · Type 1 NPI

Angela Lynn Thomason, RD

Pediatric Nutrition Registered Dietitian · Belleville, IL

NPI number 1760660823 Active

Practice location

405 Polk St
Belleville, IL 62220-2441

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X164.003677 (IL)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

About NPI 1760660823

Angela Lynn Thomason, RD's National Provider Identifier is 1760660823, issued on Jan 31, 2008. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Belleville, IL. The record was last updated on Nov 10, 2009.