Active NPI
Alyssa Breanne Cockerell
- Nutritionist
- Ventura, CA
National Provider Identifier
1841009156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- PENDING
- Practice address
- PO Box 6517
Ventura, CA 93006-6517 - Phone
- (805) 850-2711
- NPI assigned
- Jan 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | PENDING | WA | Primary |
Addresses
Primary practice location
PO Box 6517
Ventura, CA 93006-6517
Mailing address
PO Box 6517
Ventura, CA 93006-6517
Phone (805) 850-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistika Health Group | Nutritionist | Past | Accepting new patients |
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": "1735689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735689600000",
"number": "1841009156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6517",
"city": "VENTURA",
"state": "CA",
"postal_code": "930066517",
"telephone_number": "805-850-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 6517",
"city": "VENTURA",
"state": "CA",
"postal_code": "930066517",
"telephone_number": "805-850-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKERELL",
"first_name": "ALYSSA",
"middle_name": "BREANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-01",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WA",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
- Coastal Radiation Oncology Medical Group Inc
- Coastal View Healthcare Center LLC (Coastal View Healthcare Center)
- Miguel Cobian, PHARM. D
- Cocain Chiropractic Corporation
- Robert V Cocain, DC
- Katherine Coffey, SLP
- Stephen William Coffman, LCSW
- Tracy Cogbill
- Cynthia Coggins, P.A.
- Kaitlin Pearl Coghill, CPD, CCCE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.