Individual provider Active NPI

Deborah Popolizio, RD

  • Registered Dietitian
  • Mooresville, NC
National Provider Identifier
1841879459
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
006052 Issued in NC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
006052NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alchemize Inc Dietitian, Registered CurrentSince Jul 20, 2021 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.

Verify at the official NPI Registry.