Active NPI
Alexandra Harris, RD, LD
- Registered Dietitian
- O'Fallon, MO
National Provider Identifier
1174133532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86097388
- Practice address
- 18 W Industrial Dr
O Fallon, MO 63366-1926 - Phone
- (314) 819-9236
- NPI assigned
- Jul 31, 2020
- 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 | 86097388 | Primary |
Addresses
Primary practice location
18 W Industrial Dr
O Fallon, MO 63366-1926
Mailing address
11159 Westport Station Dr Apt H
Maryland Heights, MO 63043-4616
Phone (540) 525-1255
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1174133532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11159 WESTPORT STATION DR APT H",
"city": "MARYLAND HEIGHTS",
"state": "MO",
"postal_code": "630434616",
"telephone_number": "540-525-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 W INDUSTRIAL DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633661926",
"telephone_number": "314-819-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ALEXANDRA",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-31",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86097388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.