Active NPI
Allison Harrell, RDN, CCMS
- Registered Dietitian
- Boca Raton, FL
National Provider Identifier
1316282353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND3636
- Practice address
- 129 NW 13TH St Ste 20
Boca Raton, FL 33432-1635 - Phone
- (321) 438-6444
- NPI assigned
- Dec 3, 2012
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT91251 | TX | |
| Registered Dietitian | 133V00000X | ND3636 | FL | Primary |
Addresses
Primary practice location
129 NW 13TH St Ste 20
Boca Raton, FL 33432-1635
Mailing address
529 Darkwood Ave
Ocoee, FL 34761-4739
Phone (321) 438-6444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND3636 | FL | MD | Registered Dietitian |
| DT91251 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1316282353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 DARKWOOD AVE",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614739",
"telephone_number": "321-438-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 NW 13TH ST STE 20",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334321635",
"telephone_number": "321-438-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "ALLISON",
"name_prefix": "Mrs.",
"credential": "RDN, CCMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT91251",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND3636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.