Active NPI
Alexis Spink, RDN
- Registered Dietitian
- Rochester, NH
National Provider Identifier
1023529005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1164
- Practice address
- 323 Gonic Rd Ste 2a
Rochester, NH 03839-5689 - Phone
- (603) 332-8000
- NPI assigned
- Oct 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1164 | NH | Primary |
| Registered Dietitian | 133V00000X | MA |
Addresses
Primary practice location
323 Gonic Rd Ste 2a
Rochester, NH 03839-5689
Mailing address
880 Washington St
Barrington, NH 03825-6130
Phone (603) 767-4341
Other practice location 1
1266 Furnace Brook Pkwy Ste 404
Quincy, MA 02169-4785
Phone (617) 595-7044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1164 | NH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1023529005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 WASHINGTON ST",
"city": "BARRINGTON",
"state": "NH",
"postal_code": "038256130",
"telephone_number": "603-767-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 GONIC RD STE 2A",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038395689",
"telephone_number": "603-332-8000"
}
],
"practiceLocations": [
{
"address_1": "1266 Furnace Brook Pkwy Ste 404",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021694785",
"country_code": "US",
"telephone_number": "617-595-7044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPINK",
"first_name": "ALEXIS",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "1164",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.