Active NPI
Alisha Jean Blanks, RD
- Registered Dietitian
- Sleepy Hollow, NY
National Provider Identifier
1215315981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006628
- Practice address
- 80 Beekman Ave
Sleepy Hollow, NY 10591-2503 - Phone
- (914) 631-4141
- Fax
- (914) 631-1867
- NPI assigned
- May 13, 2015
- 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 | 006628 | NY | Primary |
Addresses
Primary practice location
80 Beekman Ave
Sleepy Hollow, NY 10591-2503
Mailing address
165 Main St
Ossining, NY 10562-4702
Phone (914) 941-1263
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 |
|---|---|---|---|
| 006628 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindly Nourished | Dietitian, Registered | Current | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1215315981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 MAIN ST",
"city": "OSSINING",
"state": "NY",
"postal_code": "105624702",
"telephone_number": "914-941-1263",
"fax_number": "914-941-8626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BEEKMAN AVE",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105912503",
"telephone_number": "914-631-4141",
"fax_number": "914-631-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKS",
"first_name": "ALISHA",
"middle_name": "JEAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.