Alpha Wellness, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ALPHA WELLNESS, LLC

Doing business as

Alpha Wellness

Practice address

3851 Pentland Hills Dr
Upper Marlboro, MD 20774-9242

Phone

(443) 519-9388

NPI assigned

Dec 6, 2023

Last updated

Dec 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Jackson-ValladeNPI 1457051898

Title

Owner/Sole Member

Phone

(443) 519-9388

Specialties & licenses 1

Addresses

Other names 1

• Alpha Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Jackson-Vallade, LDN

  • Nutritionist
  • Upper Marlboro, MD
  • NPI 1457051898
  Authorized official Same address or phone

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1609643915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PENTLAND HILLS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749242",
            "telephone_number": "443-519-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PENTLAND HILLS DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749242",
            "telephone_number": "443-519-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON-VALLADE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "443-519-9388"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.