Alexandra Maccarthy Babcock, MPH, RDN, DIPACLM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86112033 Issued in MI

Practice address

5320 Elliott Dr
Ypsilanti, MI 48197-1032

Phone

(734) 712-7451

NPI assigned

Mar 25, 2021

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

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1245817303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11199 SILVER LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 ELLIOTT DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971032",
            "telephone_number": "734-712-7451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11199 Silver Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481168320",
            "country_code": "US",
            "telephone_number": "248-633-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "ALEXANDRA",
        "middle_name": "MACCARTHY",
        "credential": "MPH, RDN, DIPACLM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "86112033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.