Alyssa Moukheiber, RD

Key facts

NPI

1649872151

Entity type

Individual (NPI type 1)

Primary specialty

Registered Dietitian 133V00000X

License

2021019901 (MO)

Practice address

13100 Manchester Rd Ste 17513100
Des Peres, MO 63131-1703

Phone

(314) 275-0658

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

Yes

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.

• Alo Nutrition LLC Nutritionist · Des Peres, MO · NPI 1679217467
  Medicare reassignment NPD MO

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2025.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1649872151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 175",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311729",
            "telephone_number": "314-275-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 17513100",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311703",
            "telephone_number": "314-275-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUKHEIBER",
        "first_name": "ALYSSA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2021019901",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164008231",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Des Peres, MO · Registered Dietitian in Missouri