Alyssa Marie Monson, RD LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3384 Issued in MN

Practice address

1200 Sixth Ave N
Centracare Clinic
St Cloud, MN 56303-2735

Phone

(320) 252-3342

NPI assigned

Jun 20, 2014

Sex

Female

Sole proprietor

No

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.

• Centracare Clinic

  • Multi-Specialty Clinic/Center
  • St Joseph, MN
  • NPI 1134121759
  NPD (past)
• Centracare Clinic

  • Multi-Specialty Clinic/Center
  • Saint Cloud, MN
  • NPI 1225030844
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

• Alyssa Virnig Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2014.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1104230879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SIXTH AVE N",
            "address_2": "CENTRACARE CLINIC",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563032735",
            "telephone_number": "320-252-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SIXTH AVE N",
            "address_2": "CENTRACARE CLINIC",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563032735",
            "telephone_number": "320-252-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSON",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "VIRNIG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cole Molitor, PT, DPT
• Rose Mary Molitor, MS
• Moments Hospice of St Cloud LLC
• Momentum Center,LLC
• Lindsey Monroe
• Chelsea Montag
• Julia Vladimironva Montgomery, MD
• Justin James Montzka
• Carl Richard Moon, O.D.
• Carmen Moore

• All providers in St Cloud, MN
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.