NPIMap

Organization Active NPI

Alisa Dietitian LLC

  • Registered Dietitian
  • Arlington, MA
National Provider Identifier
1750173530
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ALISA DIETITIAN LLC
Practice address
20 Philemon St
Arlington, MA 02474-1353
Phone
(339) 241-5312
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Alisa Peterson, RDN, LDNNPI 1093507840
Title
Owner
Phone
(339) 241-5312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

20 Philemon St
Arlington, MA 02474-1353

Mailing address

20 Philemon St
Arlington, MA 02474-1353
Phone (339) 241-5312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1750173530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PHILEMON ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741353",
            "telephone_number": "339-241-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PHILEMON ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024741353",
            "telephone_number": "339-241-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISA DIETITIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "339-241-5312",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.