Active NPI
Alexis Elise Kelson, RD
- Registered Dietitian
- Alpharetta, GA
National Provider Identifier
1679296610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86296654
- Practice address
- 3905 Schooner RDG
Alpharetta, GA 30005-4292 - Phone
- (770) 365-7258
- NPI assigned
- Sep 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86296654 | Primary |
Addresses
Primary practice location
3905 Schooner RDG
Alpharetta, GA 30005-4292
Mailing address
3905 Schooner RDG
Alpharetta, GA 30005-4292
Phone (770) 365-7258
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everfit Inc | Dietitian, Registered | Past | Accepting new patients |
| Henry Ford Health Rochester Hospital | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
- Neurology Physician
- Rochester, MI
- NPI 1366565442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1679296610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 SCHOONER RDG",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054292",
"telephone_number": "770-365-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 SCHOONER RDG",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054292",
"telephone_number": "770-365-7258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSON",
"first_name": "ALEXIS",
"middle_name": "ELISE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86296654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.