Alexandra Mae Gregg, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2022025851 Issued in MO

Practice address

2420 SW Winterfield CT
Lees Summit, MO 64081-4098

Phone

(816) 875-0077

Fax

(507) 322-1832

NPI assigned

Jul 7, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Kcpedsrd LLC

  • Medical Specialty Clinic/Center
  • Lees Summit, MO
  • NPI 1548989502
  NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1598498453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NW PR VW RD # 1441",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531841",
            "telephone_number": "507-990-4403",
            "fax_number": "507-322-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 SW WINTERFIELD CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640814098",
            "telephone_number": "816-875-0077",
            "fax_number": "507-322-1832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 SW Winterfield Ct",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640814098",
            "country_code": "US",
            "telephone_number": "507-990-4403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGG",
        "first_name": "ALEXANDRA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2022025851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Smith Greene, DC
• Joshua Greenwell
• Aja J Greer, BSN, DNP
• Dale E Greer, D.D.S.
• Kayla Michelle Greer, LAT, ATC
• Craig Grider, D.D.S.
• Grief and Loss Counseling LLC
• Elizabeth Ann Grier, MD
• Crystal Grigsby, RBT
• Cameron Charles Grimes, DPT

• Registered Dietitian in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.