Active NPI
Alyssa Ann Morron, RD, IBCLC, CLC, CLSP
- Registered Dietitian
- Providence, RI
National Provider Identifier
1629679691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4541
- Practice address
- 1 Randall Square
Suite 302
Providence, RI 02904 - Phone
- (401) 443-5252
- NPI assigned
- Nov 5, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001168 | CT | |
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Registered Dietitian | 133V00000X | 4541 | MA | Primary |
Addresses
Primary practice location
1 Randall Square
Suite 302
Providence, RI 02904
Mailing address
15 Prospect Street
Upton, MA 01568
Phone (860) 966-4801
Other practice location 1
87 Elm St
Hopkinton, MA 01748-1638
Phone (401) 443-5252
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011286 | Other | REGISTERED DIETITIAN | |
| 331894 | Other | CERTIFIED LACTATION COUNSELOR | |
| L-318571 | Other | INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT |
Other names 1
- Alyssa Ann Brennan
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001168 | CT | MD | Clinical Social Worker |
| 4541 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ara-Springfield Dialysis LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Springfield, MA
- NPI 1770525024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1629679691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PROSPECT STREET",
"city": "UPTON",
"state": "MA",
"postal_code": "01568",
"telephone_number": "860-966-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RANDALL SQUARE",
"address_2": "SUITE 302",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-443-5252"
}
],
"practiceLocations": [
{
"address_1": "87 Elm St",
"address_purpose": "LOCATION",
"city": "Hopkinton",
"state": "MA",
"postal_code": "017481638",
"country_code": "US",
"telephone_number": "401-443-5252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRON",
"first_name": "ALYSSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD, IBCLC, CLC, CLSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001168",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "1011286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED LACTATION COUNSELOR",
"identifier": "331894",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT",
"identifier": "L-318571",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "BRENNAN",
"middle_name": "ANN",
"credential": "RD, CD-N, LDN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.