Active NPI
Alisa Schantzer
- Registered Dietitian
- Levittown, PA
National Provider Identifier
1154087658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006032
- Practice address
- 56 Post LN
Levittown, PA 19054-3614 - Phone
- (267) 229-0923
- NPI assigned
- Nov 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN006032 | PA | Primary |
Addresses
Primary practice location
56 Post LN
Levittown, PA 19054-3614
Mailing address
56 Post LN
Levittown, PA 19054-3614
Phone (267) 229-0923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 456184 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240712000357 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 9133664360 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond Nutrition Counseling, Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
3 Creek Pkwy
#100
Upper Chichester, PA 19061
Phone (800) 223-4376
Organizations & group practices 1
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.
-
- Registered Dietitian
- Upper Chichester, PA
- NPI 1437794310
Dietitian, Registered, PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1154087658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 POST LN",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190543614",
"telephone_number": "267-229-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 POST LN",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190543614",
"telephone_number": "267-229-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHANTZER",
"first_name": "ALISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "456184",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.