Individual provider Active NPI

Alyssa McKenna Seidel, RDN

  • Registered Dietitian
  • Spearfish, SD
National Provider Identifier
1689334955
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0795 Issued in SD
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

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220615002609 MT Practitioner - Registered Dietitian Or Nutrition Professional 9032504782 Reassigns benefits to 1 organization

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
SCL Health Medical Group - Billings LLCGroup PAC ID 9638491574, 291 clinicians

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

LicenseStateTypeSpecialty
MED-NUTR-LIC-91319MTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Apr 27, 2022 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Medical Group - Billings, LLC Dietitian, Registered CurrentSince Apr 27, 2022 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.

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.

Verify at the official NPI Registry.