Allyson Allardice, RD, CNSC, CDE

Individual provider Active NPI Registered Dietitian · Berkeley, CA

NPI 1356815070 · NPPES record last updated Jan 15, 2019

Key facts

NPI
1356815070
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
948532 (CA)
Practice address
3030 Telegraph Ave
Berkeley, CA 94705-2037
Phone
(510) 204-1081
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
948532CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 948532 CA Yes

Addresses

Primary practice location

3030 Telegraph Ave
Berkeley, CA 94705-2037

Mailing address

3030 Telegraph Ave
Berkeley, CA 94705-2037
Phone (510) 204-1081

Other providers in Berkeley, CA

All providers in Berkeley, CA · Registered Dietitian in California

Sources for this page

Verify at the official NPI Registry.