Individual provider Active NPI

Alia Morgan Snyder, MS, RDN, CDCES

  • Registered Dietitian
  • Elmira, NY
National Provider Identifier
1790421816
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86047627
Practice address
200 E Church St
RM 221
Elmira, NY 14901-2752
Phone
(607) 483-5939
Fax
(866) 439-9883
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 009524 NY
Registered Dietitian 133V00000X DN007674 PA
Registered Dietitian 133V00000X L006951 NC
Registered Dietitian 133V00000X 4288 TN
Registered Dietitian 133V00000X 86047627 Primary

Addresses

Primary practice location

200 E Church St
RM 221
Elmira, NY 14901-2752

Mailing address

1863 Doty Hill Rd
Gillett, PA 16925-9210
Phone (607) 483-5939

Other names 1

  • Alia Morgan Burlew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, KY, NY, PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220726000498 TN Practitioner - Registered Dietitian Or Nutrition Professional 3870974645
I20220824000615 AR Practitioner - Registered Dietitian Or Nutrition Professional 3870974645
I20220909001414 KY Practitioner - Registered Dietitian Or Nutrition Professional 3870974645
I20220914000337 NY Practitioner - Registered Dietitian Or Nutrition Professional 3870974645 Reassigns benefits to 1 organization
I20230531001775 PA Practitioner - Registered Dietitian Or Nutrition Professional 3870974645

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 E Church St
RM 221
Elmira, NY 14901-2752
Phone (607) 483-5939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L006951NCMDRegistered Dietitian
DN007674PAMDRegistered Dietitian
2242ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Nourished Life LLC : Nutrition Therapy & Diabetes Care Dietitian, Registered CurrentSince Jul 25, 2022 Accepting new patients

Locations

200 E Church St
Rm 221
Elmira, NY 14901
Phone (607) 483-5939

200 E Church St
Elmira, NY 14901
Phone (607) 483-5939

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1790421816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1863 DOTY HILL RD",
            "city": "GILLETT",
            "state": "PA",
            "postal_code": "169259210",
            "telephone_number": "607-483-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CHURCH ST",
            "address_2": "RM 221",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012752",
            "telephone_number": "607-483-5939",
            "fax_number": "866-439-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ALIA",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009524",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007674",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006951",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "4288",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86047627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIA",
            "last_name": "BURLEW",
            "middle_name": "MORGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.