Individual provider Active NPI

Allison Leigh Bone, MS, RDN, CEDRD

  • Registered Dietitian
  • Monterey, CA
National Provider Identifier
1790227908
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1034794 Issued in NC
Practice address
753 Laine St
Monterey, CA 93940-1130
Phone
(517) 775-5008
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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 1034794 NC Primary

Addresses

Primary practice location

753 Laine St
Monterey, CA 93940-1130

Mailing address

753 Laine St
Monterey, CA 93940-1130
Phone (517) 775-5008

Other identifiers 1

IdentifierTypeStateIssuer
MI11308OtherMIMEDICARE

Other names 1

  • Allison Leigh Bone Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL allisonleighnutrition@gmail.com Direct Untamed Nutrition Therapy, LCC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330000544 CA Practitioner - Registered Dietitian Or Nutrition Professional 4688931504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1034794NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Untamed Nutrition Therapy, LLC Dietitian, Registered CurrentSince Jan 5, 2023 Accepting new patients

Locations

621 Forest Ave
Ste 2C
Pacific Grove, CA 93950
Phone (831) 373-1499

311 Forest Ave
Ste C4
Pacific Grove, CA 93950
Phone (517) 775-5008

Organizations & group practices 1

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1790227908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 LAINE ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401130",
            "telephone_number": "517-775-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 LAINE ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401130",
            "telephone_number": "517-775-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONE",
        "first_name": "ALLISON",
        "middle_name": "LEIGH",
        "credential": "MS, RDN, CEDRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "1034794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MI11308",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "allisonleighnutrition@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Untamed Nutrition Therapy, LCC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "753 Laine St",
            "city": "Monterey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939401130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "BONE",
            "middle_name": "LEIGH",
            "credential": "MS, RD, CEDRD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.