Individual provider Active NPI

Alicia Dayli Ranucci, RD, LD

  • Registered Dietitian
  • Leander, TX
National Provider Identifier
1437812682
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
086103761 Issued in TX
Practice address
2626 Raindance
Leander, TX 78641-8688
Phone
(512) 774-9052
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 086103761 TX Primary

Addresses

Primary practice location

2626 Raindance
Leander, TX 78641-8688

Mailing address

2626 Raindance
Leander, TX 78641-8688
Phone (512) 774-9052

Other names 1

  • Alicia Dayli Sepulveda Galindo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103000192 TX Practitioner - Registered Dietitian Or Nutrition Professional 9931597416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086103761TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition As Therapy Inc. Dietitian, Registered CurrentSince Oct 27, 2021 Accepting new patients
Fuel for Life Dietitian, Registered PastSince Jan 7, 2024 Accepting new patients

Locations

6285 E Spring St
Long Beach, CA 90808
Phone (562) 204-6026

990 Highway 287 N
Ste 106218
Mansfield, TX 76063

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1437812682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 RAINDANCE",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786418688",
            "telephone_number": "512-774-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 RAINDANCE",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786418688",
            "telephone_number": "512-774-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANUCCI",
        "first_name": "ALICIA",
        "middle_name": "DAYLI",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "086103761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "SEPULVEDA GALINDO",
            "middle_name": "DAYLI",
            "credential": "RD, LD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.