Individual provider Active NPI

Alexis M Newman, RD, LDN

  • Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1629413703
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1010174 Issued in PA
Practice address
399 Market St Ste 360
Philadelphia, PA 19106-2138
Phone
(609) 534-3008
Fax
(855) 370-1067
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DN004100 PA
Registered Dietitian 133V00000X 1010174 PA Primary

Addresses

Primary practice location

399 Market St Ste 360
Philadelphia, PA 19106-2138

Mailing address

4258 Parkside Ave
Apt. 3
Philadelphia, PA 19104-1098

Other practice location 1

8151 Ridge Ave
Philadelphia, PA 19128-2902
Phone (215) 487-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN004100PAMDNutritionist
1010174PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1629413703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 PARKSIDE AVE",
            "address_2": "APT. 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 MARKET ST STE 360",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062138",
            "telephone_number": "609-534-3008",
            "fax_number": "855-370-1067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8151 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191282902",
            "country_code": "US",
            "telephone_number": "215-487-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ALEXIS",
        "middle_name": "M",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN004100",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "1010174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.