Individual provider Active NPI

Allison Leigh Wade, MS, RD, LDN

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1336524446
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005676 Issued in PA
Practice address
1631 Midtown PL Ste 128
Raleigh, NC 27609-1300
Phone
(412) 593-2048
Fax
(844) 311-7396
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 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 DN005676 PA Primary

Addresses

Primary practice location

1631 Midtown PL Ste 128
Raleigh, NC 27609-1300

Mailing address

5750 Baum Blvd
Ste 306
Pittsburgh, PA 15206-3793
Phone (412) 874-8730

Other practice location 1

1813 Golden Mile Hwy # 100
Pittsburgh, PA 15239-2827
Phone (412) 593-2048 ext. 1

Other identifiers 1

IdentifierTypeStateIssuer
1030490350001MedicaidPA

Other names 1

  • Allison Leigh Ballina 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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Case Specific Nutrition LLC Dietitian, Registered CurrentSince Sep 23, 2016 Accepting new patients

Locations

4000 Wake Forest Rd
Ste 280
Raleigh, NC 27609
Phone (919) 410-7744

1631 Midtown Pl
Ste 128
Raleigh, NC 27609
Phone 4125932048 ext. 1

5750 Baum Blvd
Ste 306
Pittsburgh, PA 15206
Phone (412) 593-2048

1813 Golden Mile Hwy
Ste 100
Pittsburgh, PA 15239
Phone 4125932048 ext. 1

1813 Golden Mile Hwy
#100
Pittsburgh, PA 15239
Phone 4125932048 ext. 1

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1336524446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BAUM BLVD",
            "address_2": "STE 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063793",
            "telephone_number": "412-874-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL STE 128",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "412-593-2048",
            "fax_number": "844-311-7396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 Golden Mile Hwy # 100",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152392827",
            "country_code": "US",
            "telephone_number": "412-593-2048 x1",
            "fax_number": "844-311-7396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "ALLISON",
        "middle_name": "LEIGH",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030490350001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "BALLINA",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.