Active NPI
Allison Leigh Bone, MS, RDN, CEDRD
- Registered Dietitian
- Monterey, CA
National Provider Identifier
1790227908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1034794
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI11308 | Other | MI | MEDICARE |
Other names 1
- Allison Leigh Bone
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1034794 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Untamed Nutrition Therapy, LLC | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- Pacific Grove, CA
- NPI 1013665637
Dietitian, Registered
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.