Active NPI
Alexys Vogel
- Registered Dietitian
- Brentwood, TN
National Provider Identifier
1770181554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86253257
- Practice address
- 55 Governors Way
Brentwood, TN 37027-8926 - Phone
- (615) 364-4773
- NPI assigned
- Oct 13, 2020
- Last updated
- Oct 13, 2020
- 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 | 86253257 | NU | Primary |
Addresses
Primary practice location
55 Governors Way
Brentwood, TN 37027-8926
Mailing address
55 Governors Way
Brentwood, TN 37027-8926
Phone (615) 364-4773
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://my.practicebetter.io/#/p/home | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3940 | TN | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malla Ventures, Inc. | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Nutritionist
- Jersey City, NJ
- NPI 1144114729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1770181554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 GOVERNORS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278926",
"telephone_number": "615-364-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 GOVERNORS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278926",
"telephone_number": "615-364-4773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "ALEXYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": "86253257",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://my.practicebetter.io/#/p/home",
"affiliation": "N",
"endpointDescription": "practice better",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "55 Governors Way",
"city": "Brentwood",
"state": "TN",
"country_code": "US",
"postal_code": "370278926",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.