Individual provider Active NPI

Asma Altasan, MS,RDN,LDN

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1376100057
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86093023 Issued in NU
Practice address
4700 City Ave Apt 11402
Philadelphia, PA 19131-1577
Phone
(929) 310-0002
NPI assigned
May 28, 2019
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 86093023 NU Primary

Addresses

Primary practice location

4700 City Ave Apt 11402
Philadelphia, PA 19131-1577

Mailing address

4700 City Ave Apt 11402
Philadelphia, PA 19131-1577
Phone (929) 310-0002

Other identifiers 1

IdentifierTypeStateIssuer
DN006763OtherPAPALS

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1376100057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 CITY AVE APT 11402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311577",
            "telephone_number": "929-310-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 CITY AVE APT 11402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311577",
            "telephone_number": "929-310-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTASAN",
        "first_name": "ASMA",
        "name_prefix": "Ms.",
        "credential": "MS,RDN,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86093023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALS",
            "identifier": "DN006763",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.