Alisa Berteau, PHARM D, FDN
Individual provider Active NPI Health & Wellness Coach · Petal, MS
NPI 1386572329 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1386572329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 117 N Main St Ste 203
Petal, MS 39465-2366 - Phone
- (901) 491-3456
- NPI assigned
- May 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
117 N Main St Ste 203
Petal, MS 39465-2366
Mailing address
117 N Main St Ste 203
Petal, MS 39465-2366
Phone (901) 491-3456
Other providers in Petal, MS
- Alvaro J Moreno OD PC
- Hannah Roberts Badon
- Jennifer Lois Barbieri
- Bedford Care Center of Petal, LLC
- Lawrence C Bender III
- Sarah Elise Blackledge
- Dee C Blackwell
- Allison Joy Boutwell
- Bobby Glenn Braswell Jr.
- Trish Anne Brix-Baskin
All providers in Petal, MS · Health & Wellness Coach in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.