Active NPI
Alexandra Dusenberry, MS, RDN
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1710644273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86056257
- Practice address
- 12608 Carmel Country Rd Unit 31
San Diego, CA 92130-2127 - Phone
- (760) 271-7340
- NPI assigned
- Nov 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 86056257 | CA | Primary |
Addresses
Primary practice location
12608 Carmel Country Rd Unit 31
San Diego, CA 92130-2127
Mailing address
12608 Carmel Country Rd Unit 31
San Diego, CA 92130-2127
Phone (760) 271-7340
Other practice location 1
29402 Spa Havens Way
Vista, CA 92084
Phone (760) 842-6816
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86056257 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1710644273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12608 CARMEL COUNTRY RD UNIT 31",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302127",
"telephone_number": "760-271-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12608 CARMEL COUNTRY RD UNIT 31",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302127",
"telephone_number": "760-271-7340"
}
],
"practiceLocations": [
{
"address_1": "29402 Spa Havens Way",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "92084",
"country_code": "US",
"telephone_number": "760-842-6816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUSENBERRY",
"first_name": "ALEXANDRA",
"name_prefix": "Ms.",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2021-11-19",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86056257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.