Individual provider Active NPI

Alyssa L Overett, MS, RD

  • Registered Dietitian
  • Indianapolis, IN
National Provider Identifier
1649915836
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
8440 Woodfield Crossing Blvd Ste 175
Indianapolis, IN 46240-4359
Phone
(463) 800-6977
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

8440 Woodfield Crossing Blvd Ste 175
Indianapolis, IN 46240-4359

Mailing address

8440 Woodfield Crossing Blvd Ste 175
Indianapolis, IN 46240-4359
Phone (463) 800-6977

Other names 1

  • Allie L Overett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230320000219 IN Practitioner - Registered Dietitian Or Nutrition Professional 1557735396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8440 Woodfield Crossing Blvd
Suite 175
Indianapolis, IN 46240-4359
Phone (317) 254-5465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cicoa Aging & in Home Solutions Inc Dietitian, Registered CurrentSince Feb 14, 2023 Accepting new patients
Community Care Hub of Indiana, Inc PastSince May 8, 2022 Accepting new patients

Locations

8440 Woodfield Crossing Blvd
Ste 175
Indianapolis, IN 46240
Phone (317) 254-5465

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1649915836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WOODFIELD CROSSING BLVD STE 175",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404359",
            "telephone_number": "463-800-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WOODFIELD CROSSING BLVD STE 175",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404359",
            "telephone_number": "463-800-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERETT",
        "first_name": "ALYSSA",
        "middle_name": "L",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "OVERETT",
            "middle_name": "L",
            "credential": "MA, RD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.

Verify at the official NPI Registry.