Alisse V Larkin, RDN

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

86326128 Issued in UT

Practice address

15 Aggie VLG Apt L
Logan, UT 84341-2633

Phone

(435) 255-7484

NPI assigned

Apr 1, 2024

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

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.

• Body to Soul, LLC

  • Registered Dietitian
  • Chicago, IL
  • NPI 1003671058
  NPD (past)

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1831940485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AGGIE VLG APT L",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412633",
            "telephone_number": "435-255-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AGGIE VLG APT L",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412633",
            "telephone_number": "435-255-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "ALISSE",
        "middle_name": "V",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "UT",
            "license": "86326128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddie Belle Landrum, CSW
• Joshua B Langford, BSN, RN
• Mary Jane Langford, RN
• Tiffany Lanning
• Anna Aller Lara, PAC
• Amy Astle Larkin
• Joseph Eugene Larkin
• Larry T Hogge DDS PC
• Brian Therald Larsen, PT
• Bryan R. Larsen, M.D.

• All providers in Logan, UT
• Sports Dietetics Nutrition Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.