Alyssa Real
Individual provider Active NPI Registered Dietitian · Whiting, IN
NPI 1285440552 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1285440552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 2028 Davidson PL
Whiting, IN 46394-2027 - Phone
- (708) 299-7362
- NPI assigned
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
2028 Davidson PL
Whiting, IN 46394-2027
Mailing address
2028 Davidson PL
Whiting, IN 46394-2027
Phone (708) 299-7362
Other providers in Whiting, IN
- Jean Piegza
- Tyler Porter
- Precise Telehealth Inc
- Premise Health of Indiana Medical PC
- Wayne Presutti
- Brandon M Rhim
- Chang W. Rhim
- Rite Care Pharmacy Inc
- Geoffrey F River
- Miriam N Rivera
All providers in Whiting, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.