Jaclyn Lekay Nix Alvarez, MS,RDN,CSOWM

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2017030931 Issued in MO

Practice address

2941 Championship Blvd
Suite LLC
Saint Louis, MO 63129-5274

Phone

(314) 282-5181

NPI assigned

Jan 27, 2025

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jacci.alvarez@168064768409604.direct.elationemr.com

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.

• Open Table Nutrition LLC

  • Registered Dietitian
  • Saint Louis, MO
  • NPI 1972420123

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1548073448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S LEXINGTON ST STE 100",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012443",
            "telephone_number": "314-282-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 CHAMPIONSHIP BLVD",
            "address_2": "SUITE LLC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631295274",
            "telephone_number": "314-282-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JACLYN",
        "middle_name": "LEKAY NIX",
        "credential": "MS,RDN,CSOWM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2017030931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aluna Therapy
• Ram Sanjeev Alur, MD
• Alejandra D. Alvarez Wilson, MD
• Alejandro C Alvarez, MD
• Alexander Scott Alvarez, PH.D.
• Jose I Alvarez, MD
• Lizette Alvarez, M.D.
• Josephine A Alves, LCSW
• Steven Homer Alvey, R.PH
• Nafisa Alvi

• Registered Dietitian in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.