Alice Powell Taylor, R.D.

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

D0219 Issued in MS

Practice address

St. Dominic Weight Loss Solutions
3800 Interstate 55 North Frontage Road Suite 102
Jackson, MS 39211

Phone

(601) 200-6872

NPI assigned

Jan 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St Dominic Medical Associates LLC

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1508263179
  NPD (past)
• St. Dominic Jackson Memorial

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1235173691
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1821628223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WOODLANDS GREEN DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478773",
            "telephone_number": "601-954-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. DOMINIC WEIGHT LOSS SOLUTIONS",
            "address_2": "3800 INTERSTATE 55 NORTH FRONTAGE ROAD SUITE 102",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "telephone_number": "601-200-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALICE",
        "middle_name": "POWELL",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "MS",
            "license": "D0219",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "MS",
            "license": "D0219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN LICENSE",
            "identifier": "D0219",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION/ACADEMY OF NUTRITION AND DIETETICS",
            "identifier": "690960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Michael Taybos, DDS
• Ahmed Tayeh, MBBS
• Taylor Coleman, MD, PLLC
• Taylor Roe LCSW PLLC
• Alex Barraza Taylor, CPNP-AC
• Alison Nicole Taylor, APRN, PMHNP-BC
• Allison Taylor
• Andrew C Taylor, DMD
• Annie W Taylor, DMD
• Brady Boone Taylor, RD, LD

• Obesity and Weight Management Nutrition Registered Dietitian in Jackson, MS
• Providers in Jackson, MS by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.