Individual provider Active NPI

Allison Wessell, MS, RD, LD, CLS

  • Registered Dietitian
  • Adrian, MI
National Provider Identifier
1750851770
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.7806 Issued in OH
Practice address
400 W South St
Adrian, MI 49221-3825
Phone
(517) 577-6250
Fax
(517) 263-6531
NPI assigned
Dec 3, 2018
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.7806 OH Primary

Addresses

Primary practice location

400 W South St
Adrian, MI 49221-3825

Mailing address

13110 Brint Rd
Berkey, OH 43504-9715
Phone (440) 813-3969

Other practice location 1

13110 Brint Rd
Berkey, OH 43504-9715
Phone (440) 813-3969

Other names 1

  • Allison Mack Former name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Agency CurrentSince Sep 23, 2024 Accepting new patients
Ashtabula County Community Action Agency Past Accepting new patients
Community Action Agency PastSince Dec 24, 2023 Accepting new patients

Locations

400 W South St
Adrian, MI 49221
Phone (517) 263-7861

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1750851770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 BRINT RD",
            "city": "BERKEY",
            "state": "OH",
            "postal_code": "435049715",
            "telephone_number": "440-813-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W SOUTH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492213825",
            "telephone_number": "517-577-6250",
            "fax_number": "517-263-6531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13110 Brint Rd",
            "address_purpose": "LOCATION",
            "city": "Berkey",
            "state": "OH",
            "postal_code": "435049715",
            "country_code": "US",
            "telephone_number": "440-813-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSELL",
        "first_name": "ALLISON",
        "credential": "MS, RD, LD, CLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.7806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MACK",
            "credential": "MS, RD, LD, CLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.