Active NPI
Alyssa Bosse, RDN
- Registered Dietitian
- Englewood, OH
National Provider Identifier
1003334426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.08256
- Practice address
- 885 Union Road
Englewood, OH 45322 - Phone
- (937) 832-4060
- NPI assigned
- Sep 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.08256 | OH | Primary |
Addresses
Primary practice location
885 Union Road
Englewood, OH 45322
Mailing address
885 Union Blvd
Englewood, OH 45322-2102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD.08256 | Other | OH | OHIO BOARD OF DIETETICS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Ohio State University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 865-3172
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.04 of 100
- Quality
- 85.5
- Improvement activities
- 40
- Cost
- 83.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
655 Africa Rd
Westerville, OH 43082
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
Dietitian, Registered
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505433600000",
"number": "1003334426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 UNION BLVD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453222102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 UNION ROAD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "45322",
"telephone_number": "937-832-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSE",
"first_name": "ALYSSA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.08256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF DIETETICS",
"identifier": "LD.08256",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.