Active NPI
Alice Justiss, LDN, LPC
- Registered Dietitian
- Nashville, TN
National Provider Identifier
1447622717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0000000042
- Practice address
- 1118 Brookmeade Dr
Nashville, TN 37204-4105 - Phone
- (615) 420-0513
- NPI assigned
- Oct 27, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3171 | TN | |
| Registered Dietitian | 133V00000X | 0000000042 | TN | Primary |
Addresses
Primary practice location
1118 Brookmeade Dr
Nashville, TN 37204-4105
Mailing address
1118 Brookmeade Dr
Nashville, TN 37204-4105
Phone (615) 420-0513
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 |
|---|---|---|---|
| 0000000042 | TN | MD | Registered Dietitian |
| 3171 | TN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1447622717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 BROOKMEADE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044105",
"telephone_number": "615-420-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 BROOKMEADE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044105",
"telephone_number": "615-420-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTISS",
"first_name": "ALICE",
"credential": "LDN, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "3171",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "0000000042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.