Alo Nutrition LLC
Organization Active NPI Nutritionist · Des Peres, MO
NPI 1679217467 · NPPES record last updated Apr 26, 2022
Key facts
- NPI
- 1679217467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nutritionist 133N00000X
- Legal business name
- ALO NUTRITION LLC
- Practice address
- 13100 Manchester Rd Ste 175
Des Peres, MO 63131-1729 - Phone
- (314) 308-9115
- NPI assigned
- Apr 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Lori Adams, RDN
- Title
- Co-Owner
- Phone
- (314) 308-9115
Practitioners 8
-
Holley Drochelman, MS, RDN, LD, CEDS
-
Sarah Gleason, RD LD
-
Sarah Hess, MS, RDN, LD
-
Teresa Kurth, MS, RD, LDN
-
Lori Adams, RDN, CSSD, CEDRD-S
-
Morgan T Beaman, MFN, RD, LD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250703000785 | MO | Part B Supplier - Clinic/Group Practice | 2668985490 |
Receives reassigned benefits from 5 practitioners Practice locations: Des Peres, MO; Saint Charles, MO |
National Provider Directory
Locations
12 Wolf Creek Dr
Ste 100
Swansea, IL 62226
Phone (314) 239-2728
1480 Woodstone Dr
Ste 221
Saint Charles, MO 63304
Phone (314) 275-0658
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist |
133N00000X | Yes |
Addresses
Primary practice location
13100 Manchester Rd Ste 175
Des Peres, MO 63131-1729
Mailing address
13100 Manchester Rd Ste 175
Des Peres, MO 63131-1729
Phone (314) 308-9115
Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.