Israa Alia, RDN

Primary specialty

Gerontological Nutrition Registered DietitianTaxonomy code 133VN1101X

License

86040970 Issued in IL

Practice address

17303 Thornridge Dr
Grand Blanc, MI 48439-9220

Phone

(708) 336-9330

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Israa Alia

  • Registered Dietitian
  • Clarkston, MI
  • NPI 1790648913
  NPD Authorized official

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1114648524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17303 THORNRIDGE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399220",
            "telephone_number": "708-336-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17303 THORNRIDGE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399220",
            "telephone_number": "708-336-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIA",
        "first_name": "ISRAA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "IL",
            "license": "86040970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Lynnette Alexander
• Armani Alexander
• Ronald Lamar Alexander, R.PH.
• Fadumo Mohamed Ali, DO
• Mohamed Mustafa Ali, MD
• All Care Home Health Agency, Inc.
• All Care Private Duty, Inc.
• All Natural Chiropractic, PLLC
• All Star Pediatrics
• Ava Nicole Allen

• Gerontological Nutrition Registered Dietitian in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Gerontological Nutrition Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.