Alyssa Shaelyn Reidhead, RD
Individual provider Active NPI Registered Dietitian · Hyrum, UT
NPI 1447627484 · NPPES record last updated Jan 14, 2022
Key facts
- NPI
- 1447627484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 9539729-4901 (UT)
- Practice address
- 128 S 1350 E
Hyrum, UT 84319-2029 - Phone
- (702) 423-7657
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alyssa Reidhead Enterprises LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 9539729-4901 | UT | Yes |
Addresses
Primary practice location
128 S 1350 E
Hyrum, UT 84319-2029
Mailing address
128 S 1350 E
Hyrum, UT 84319-2029
Phone (702) 423-7657
Other names
- Alyssa Shaelyn O'Toole
Other providers in Hyrum, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2022. 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.