Active NPI
Alyssa Leib, MS, RD
- Registered Dietitian
- Arvada, CO
National Provider Identifier
1417723925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86296660
- Practice address
- 6350 Eldridge St
Arvada, CO 80004-3616 - Phone
- (303) 422-4977
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86296660 | Primary |
Addresses
Primary practice location
6350 Eldridge St
Arvada, CO 80004-3616
Mailing address
19632 W 59TH Ave
Golden, CO 80403-2140
Other practice location 1
5181 W Kenyon Ave
Denver, CO 80236-2901
Phone (720) 524-2759
Other practice location 2
25 E 16th Ave # B
Denver, CO 80202-5195
Phone (303) 861-8300
Other practice location 3
19632 W 59th Ave
Golden, CO 80403-2140
Phone (540) 230-6213
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak to Peak Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1417723925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19632 W 59TH AVE",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804032140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 ELDRIDGE ST",
"city": "ARVADA",
"state": "CO",
"postal_code": "800043616",
"telephone_number": "303-422-4977"
}
],
"practiceLocations": [
{
"address_1": "5181 W Kenyon Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802362901",
"country_code": "US",
"telephone_number": "720-524-2759",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 E 16th Ave # B",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802025195",
"country_code": "US",
"telephone_number": "303-861-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19632 W 59th Ave",
"address_purpose": "LOCATION",
"city": "Golden",
"state": "CO",
"postal_code": "804032140",
"country_code": "US",
"telephone_number": "540-230-6213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIB",
"first_name": "ALYSSA",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86296660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.