Active NPI
Alexandria Nicole Bledsoe, MS, RD, LD
- Registered Dietitian
- New Castle, IN
National Provider Identifier
1043845688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37003062A
- Practice address
- 316 W Colonial Dr
New Castle, IN 47362-5409 - Phone
- (330) 284-6558
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 08632 | OH | |
| Registered Dietitian | 133V00000X | 37003062A | IN | Primary |
Addresses
Primary practice location
316 W Colonial Dr
New Castle, IN 47362-5409
Mailing address
316 W Colonial Dr
New Castle, IN 47362-5409
Phone (330) 284-6558
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37003062A | IN | MD | Registered Dietitian |
| 08632 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1043845688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W COLONIAL DR",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473625409",
"telephone_number": "330-284-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W COLONIAL DR",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473625409",
"telephone_number": "330-284-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEDSOE",
"first_name": "ALEXANDRIA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "08632",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37003062A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.