IndividualActive
Angela Disbrow
NPI 1205537941 · Registered Dietitian · Bloomington, IL
Provider details
- NPI number
- 1205537941
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 164.003563 (IL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
512 Kreitzer Ave
Bloomington, IL 61701-5606
Phone: (309) 828-6157
Fax: (309) 322-6475
Street-level locationGet directions
Mailing address
512 Kreitzer Ave
Bloomington, IL 61701-5606
Registry dates
- Enumerated
- 2023-03-10
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.