Active NPI
Alyson Marisa Davis, RDN
- Registered Dietitian
- Saint Joseph, MI
National Provider Identifier
1427674415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 973393
- Practice address
- 1109 Saint Joseph Dr
Saint Joseph, MI 49085-2535 - Phone
- (319) 321-9020
- NPI assigned
- Jun 25, 2020
- Last updated
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 973393 | MI | Primary |
Addresses
Primary practice location
1109 Saint Joseph Dr
Saint Joseph, MI 49085-2535
Mailing address
1109 Saint Joseph Dr
Saint Joseph, MI 49085-2535
Phone (319) 321-9020
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 973393 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1427674415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 SAINT JOSEPH DR",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852535",
"telephone_number": "319-321-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 SAINT JOSEPH DR",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852535",
"telephone_number": "319-321-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALYSON",
"middle_name": "MARISA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "973393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.