Active NPI
Alyssa McKenna Seidel, RDN
- Registered Dietitian
- Spearfish, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0795
- Practice address
- 1440 N Main St
Spearfish, SD 57783-1505 - Phone
- (605) 644-4000
- NPI assigned
- Dec 28, 2021
- 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 | 0795 | SD | Primary |
| Registered Dietitian | 133V00000X | MED-NUTR-LIC-91319 | MT |
Addresses
Primary practice location
1440 N Main St
Spearfish, SD 57783-1505
Mailing address
1207 Ponderosa Dr
Sturgis, SD 57785-2711
Phone (406) 698-2464
Other practice location 1
61 Charles St
Deadwood, SD 57732-1303
Phone (605) 717-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2900 12TH Ave N
Suite 160W
Billings, MT 59101-7508
Phone (406) 237-4580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-NUTR-LIC-91319 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
Organizations & group practices 3
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.
-
- Clinic/Center
- Billings, MT
- NPI 1508289703
-
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1003701558
Dietitian, Registered
-
- General Practice Physician
- Billings, MT
- NPI 1447866538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1689334955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 PONDEROSA DR",
"city": "STURGIS",
"state": "SD",
"postal_code": "577852711",
"telephone_number": "406-698-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 N MAIN ST",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577831505",
"telephone_number": "605-644-4000"
}
],
"practiceLocations": [
{
"address_1": "61 Charles St",
"address_purpose": "LOCATION",
"city": "Deadwood",
"state": "SD",
"postal_code": "577321303",
"country_code": "US",
"telephone_number": "605-717-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEIDEL",
"first_name": "ALYSSA",
"middle_name": "MCKENNA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SD",
"license": "0795",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "MED-NUTR-LIC-91319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spearfish, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.