Alicia F Mudgett

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0573 Issued in NH

Practice address

1857 White Mountain Hwy
North Conway, NH 03860-5158

Phone

(603) 730-5356

Fax

(603) 730-5477

NPI assigned

Jun 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/31136/brand/1/csg/1/fhir/r4
• Direct secure messaging: alicia.mudgett.1@31136.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Coos County Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Berlin, NH
  • NPI 1659377869

  Adp of the SNF

  CMS ownership

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.

• White Mountain Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Conway, NH
  • NPI 1659470383

  NH

  Medicare reassignment Care Compare group NPD
• Cranmore Health Partners, LLC

  • Multi-Specialty Clinic/Center
  • Glen, NH
  • NPI 1194364083

  NH

  Medicare reassignment NPD
• Northeastern Vermont Regional Hospital, Inc.

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1326080268
  NPD (past)

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Mountain Community Health Center 8 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1801464342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354",
            "city": "CHOCORUA",
            "state": "NH",
            "postal_code": "038170354",
            "telephone_number": "207-604-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605158",
            "telephone_number": "603-730-5356",
            "fax_number": "603-730-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDGETT",
        "first_name": "ALICIA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Meunier
• Cynthia Montanez
• Shawna Ashley Moore
• Mountain Psychology & Wellness PLLC
• Arlene F Mrozowski, D.O
• Mydiscover Inc.
• Melanie Nash, DPT
• Angela Nelson
• Olivia Denali Neville, LMT
• Nhoms, PLLC

• All providers in North Conway, NH
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.