Active NPI
Alessia Thacker, RD
- Registered Dietitian
- Palm Harbor, FL
National Provider Identifier
1619739703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 9251
- Practice address
- 3579 Landmark TRL
Palm Harbor, FL 34684-5017 - Phone
- (813) 360-7177
- NPI assigned
- Jan 25, 2024
- Last updated
- Jul 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 006315 | GA | |
| Registered Dietitian | 133V00000X | 3614 | LA | |
| Registered Dietitian | 133V00000X | 011193-01 | NY | |
| Registered Dietitian | 133V00000X | LD-D-10256231 | OR | |
| Registered Dietitian | 133V00000X | 9251 | FL | Primary |
Addresses
Primary practice location
3579 Landmark TRL
Palm Harbor, FL 34684-5017
Mailing address
3579 Landmark TRL
Palm Harbor, FL 34684-5017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19 W 24TH St
FL 4
New York, NY 10010-3239
19 W 24TH St FL
Suite 4
New York, NY 10010-3239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011193-01 | NY | MD | Mental Health Counselor |
| 9251 | FL | MD | Registered Dietitian |
| LD-D-10256231 | OR | MD | Registered Dietitian |
| 3614 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSH Health PA | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752278400000",
"number": "1619739703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3579 LANDMARK TRL",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346845017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3579 LANDMARK TRL",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346845017",
"telephone_number": "813-360-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACKER",
"first_name": "ALESSIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2025-07-12",
"certification_date": "2025-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "006315",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "3614",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "011193-01",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10256231",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "9251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
- Kirsten A. Teresi, DMD
- Terrann Sokolowski Aprn
- Terri Pendleton,Inc
- Molly Jean Terry, LMHC
- Alona Teslenko, MD
- The Dietitians Group of West Florida, Inc.
- The Elm Massage Bodywork LLC
- The Endocrine Center of Florida, LLC
- The Hospice of the Florida Suncoast, Inc.
- The Hospice of the Florida Suncoast, Inc. (Suncoast Hopsice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.