Individual provider Active NPI

Allysa Ballantini-Clements, MPP-D, R.D., L.D.

  • Registered Dietitian
  • West Des Moines, IA
National Provider Identifier
1063876928
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
081161 Issued in IA
Practice address
555 S 51St St
West Des Moines, IA 50265-6967
Phone
(515) 225-1193
NPI assigned
Apr 7, 2016
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 081161 IA Primary

Addresses

Primary practice location

555 S 51St St
West Des Moines, IA 50265-6967

Mailing address

555 S 51St St
West Des Moines, IA 50265-6967
Phone (515) 225-1193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504000285 IA Practitioner - Registered Dietitian Or Nutrition Professional 4082913694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hy-Vee Health PCGroup PAC ID 1254701618, 43 clinicians

Practice addresses (Care Compare)

4605 Fleur Dr
Des Moines, IA 50321-2333
Phone (515) 225-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC CurrentSince Jun 2, 2025 Accepting new patients
Hy-Vee Health PC Dietitian, Registered CurrentSince Jun 2, 2025 Accepting new patients
Hy-Vee Health PC Current Accepting new patients

Locations

108 8th St SW
Altoona, IA 50009
Phone (515) 967-3765

4605 Fleur Dr
Des Moines, IA 50321
Phone (515) 285-7133

555 S 51st St
West Des Moines, IA 50265
Phone (515) 221-2751

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

7300 Westown Pkwy
Ste 320
West Des Moines, IA 50266
Phone (402) 896-5000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1063876928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S 51ST ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656967",
            "telephone_number": "515-225-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 51ST ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656967",
            "telephone_number": "515-225-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLANTINI-CLEMENTS",
        "first_name": "ALLYSA",
        "credential": "MPP-D, R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "081161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.

Verify at the official NPI Registry.