Alise R Pulliam, MPA, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

6320 N Center Dr
BLDG #15 Suite 140
Norfolk, VA 23502-4009

Phone

(757) 466-9446

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bio-Medical Applications of Virginia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Norfolk, VA
  • NPI 1043314917
  NPD (past)
• Bio-Medical Applications of Virginia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Richmond, VA
  • NPI 1255052122
  NPD (past)
• Sodexo Operations LLC

  • Registered Dietitian
  • Morrisville, PA
  • NPI 1528034436

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1487713525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 STAR CREEK CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234350904",
            "telephone_number": "757-535-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N CENTER DR",
            "address_2": "BLDG #15 SUITE 140",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024009",
            "telephone_number": "757-466-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "ALISE",
        "middle_name": "R",
        "credential": "MPA, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert T Pu, MD
• Tracey Pu
• Sara Puche Gomez, MD
• Brennen Puckett, RN
• Rebecca Samples Pugmire, FNP-C
• Pulmonary Testing of Virginia, Inc
• Pulse Anesthesia Services LLC
• Ivor Purchas, M.D.
• Kevon Jamal Purdie, MA,MSW, LPC
• Pure Path Home Care

• Registered Dietitian in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.