Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Renee Prophet

Individual provider Registered Dietitian · NPI 1265137038

Angela Renee Prophet is a Registered Dietitian in Presque Isle, Michigan. Licensed in Alabama, Arkansas, Florida and Kansas and 8 more. Registered with an NPI since 2023.

Licensed in
AL, AR, FL, KS, KY, MD
In the registry since
2023
Specialties on file
13

Practice location Address checks out

9271 E Grand Lake Rd
Presque Isle, MI 49777-8628
Phone: (740) 297-0488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 11796 (FL)
Registered Dietitian Taxonomy 133V00000X · Licence 832735 (OH)
Registered Dietitian Taxonomy 133V00000X · Licence 5186 (AL)
Registered Dietitian Taxonomy 133V00000X · Licence 2356 (AR)
Registered Dietitian Taxonomy 133V00000X · Licence 2457 (KS)
Registered Dietitian Taxonomy 133V00000X · Licence 283032 (KY)
Registered Dietitian Taxonomy 133V00000X · Licence 5931 (MD)
Registered Dietitian Taxonomy 133V00000X · Licence 2019016829 (MO)
Registered Dietitian Taxonomy 133V00000X · Licence 40478 (NV)
Registered Dietitian Taxonomy 133V00000X · Licence 13187224-4901 (UT)
Registered Dietitian Taxonomy 133V00000X · Licence 1401 (NH)
Registered Dietitian Taxonomy 133V00000X · Licence 01253 (RI)
Registered Dietitian Taxonomy 133V00000X · Licence 4023 (OH)

Record details

NPI number1265137038
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateApril 2, 2023
Mailing address9271 E Grand Lake Rd, Presque Isle, MI 49777-8628