Active NPI
Alia Morgan Snyder, MS, RDN, CDCES
- Registered Dietitian
- Elmira, NY
National Provider Identifier
1790421816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AR, KY, NY, PA
Enrollment records 5
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
| License | State | Type | Specialty |
|---|---|---|---|
| L006951 | NC | MD | Registered Dietitian |
| DN007674 | PA | MD | Registered Dietitian |
| 2242 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nourished Life LLC : Nutrition Therapy & Diabetes Care | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- Elmira, NY
- NPI 1184358897
Dietitian, Registered
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.