Organization Active NPI

Alyssa Debord Nutrition and Wellness

  • Registered Dietitian
  • Granville, OH
National Provider Identifier
1295507986
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ALYSSA DEBORD NUTRITION AND WELLNESS
Practice address
110 E Elm St Ste B
Granville, OH 43023-1462
Phone
(740) 206-9499
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Alyssa Debord, RDNPI 1205237898
Title
Registered Dietitian
Phone
(206) 294-2425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

110 E Elm St Ste B
Granville, OH 43023-1462

Mailing address

169 Victoria Dr
Granville, OH 43023-9108
Phone (206) 294-2425

National Provider Directory

National Provider Directory

Locations

110 E Elm St
Ste B
Granville, OH 43023
Phone (206) 294-2425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1295507986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 VICTORIA DR",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239108",
            "telephone_number": "206-294-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E ELM ST STE B",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231462",
            "telephone_number": "740-206-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA DEBORD NUTRITION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "DEBORD",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "206-294-2425",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.