Active NPI
Alyssa Labrecque, RD
- Registered Dietitian
- Leominster, MA
National Provider Identifier
1114465382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4262
- Practice address
- 60 Hospital Rd
Leominster, MA 01453-2205 - Phone
- (789) 466-4382
- NPI assigned
- Feb 7, 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 | 4262 | MA | Primary |
Addresses
Primary practice location
60 Hospital Rd
Leominster, MA 01453-2205
Mailing address
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-1485
Other names 1
- Alyssa Smith
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4262 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1114465382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HOSPITAL RD",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532205",
"telephone_number": "789-466-4382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABRECQUE",
"first_name": "ALYSSA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "SMITH",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.