Active NPI
Deborah Popolizio, RD
- Registered Dietitian
- Mooresville, NC
National Provider Identifier
1841879459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006052
- Practice address
- 500 S Main St Ste 113
Mooresville, NC 28115-3228 - Phone
- (631) 804-8835
- NPI assigned
- Apr 2, 2021
- Last updated
- Apr 2, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 006052 | NC | Primary |
Addresses
Primary practice location
500 S Main St Ste 113
Mooresville, NC 28115-3228
Mailing address
151 Yellow Jacket Cir
Mooresville, NC 28117-7329
Phone (631) 804-8835
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Deborah@alchemizenow.com |
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 |
|---|---|---|---|
| 006052 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alchemize Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
500 S Main St
Ste 113
Mooresville, NC 28115
Phone (704) 360-0235
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1841879459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 YELLOW JACKET CIR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177329",
"telephone_number": "631-804-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S MAIN ST STE 113",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281153228",
"telephone_number": "631-804-8835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOLIZIO",
"first_name": "DEBORAH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "006052",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Deborah@alchemizenow.com",
"affiliation": "N",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "500 S Main St Ste 113",
"city": "Mooresville",
"state": "NC",
"country_code": "US",
"postal_code": "281153228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.