Alyssa Callahan, MS RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86064070

Practice address

509 Marin St Ste 228
Thousand Oaks, CA 91360-4231

Phone

(805) 267-9338

NPI assigned

Aug 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Nourished With Kindness

  • Registered Dietitian
  • Westlake Village, CA
  • NPI 1790372449

  Dietitian, Registered

  NPD Authorized official
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1225553936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MARIN ST STE 228",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604231",
            "telephone_number": "805-267-9338",
            "fax_number": "805-930-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MARIN ST STE 228",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604231",
            "telephone_number": "805-267-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ALYSSA",
        "credential": "MS RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86064070",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86064070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• California Neurosurgical Specialists, a P.C.
• California Sleep Centers
• California Speech & Rehabilitation, Inc.
• California Spine Institute Medical Center, Inc.
• Timothy A. Caligiuri, D.D.S.
• Kaitlin Callahan
• Margerie Ganadillo Calvario, PT
• Cambridge HHA LLC
• Jorge Campos Franco, MD
• Diana Roque Campos, RN

• Registered Dietitian in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.