Active NPI
Alison Leigh Kovich, RDN
- Registered Dietitian
- Rock Hill, SC
National Provider Identifier
1669194635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LRD2436
- Practice address
- 2670 Mills Park Dr
Rock Hill, SC 29732-3593 - Phone
- (803) 366-4848
- Fax
- (803) 325-1612
- NPI assigned
- Sep 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L006641 | NC | |
| Registered Dietitian | 133V00000X | LRD2436 | SC | Primary |
Addresses
Primary practice location
2670 Mills Park Dr
Rock Hill, SC 29732-3593
Mailing address
1040 Lyndon Dr
Lancaster, SC 29720-6593
Phone (937) 271-5570
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 |
|---|---|---|---|
| L006641 | NC | MD | Registered Dietitian |
| LRD2436 | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1669194635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 LYNDON DR",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297206593",
"telephone_number": "937-271-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 MILLS PARK DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323593",
"telephone_number": "803-366-4848",
"fax_number": "803-325-1612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVICH",
"first_name": "ALISON",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006641",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "LRD2436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.