Individual provider Active NPI

Allyssa M Heus, RD, LD

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1326563818
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.08260 Issued in OH
Practice address
5202 Bethel Reed Park Ste 100
Columbus, OH 43220-1818
Phone
(614) 447-9495
Fax
(614) 447-9163
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.08260 OH Primary

Addresses

Primary practice location

5202 Bethel Reed Park Ste 100
Columbus, OH 43220-1818

Mailing address

5202 Bethel Reed Park Ste 100
Columbus, OH 43220-1818
Phone (614) 447-9495

Other identifiers 1

IdentifierTypeStateIssuer
0402690MedicaidOH

Other names 1

  • Allyssa Mast Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1326563818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 BETHEL REED PARK STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201818",
            "telephone_number": "614-447-9495",
            "fax_number": "614-447-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 BETHEL REED PARK STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201818",
            "telephone_number": "614-447-9495",
            "fax_number": "614-447-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUS",
        "first_name": "ALLYSSA",
        "middle_name": "M",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.08260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0402690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSSA",
            "last_name": "MAST",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.