Active NPI
Alyssa Debord Nutrition and Wellness
- Registered Dietitian
- Granville, OH
National Provider Identifier
1295507986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyssa Debord, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.