Active NPI
Alisa Meyer, LDN
- Nutrition Education Nutritionist
- Smyrna, GA
National Provider Identifier
1851057251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- LD-P000290
- Practice address
- 1253 Laurel Summit Dr SE
Smyrna, GA 30082-4331 - Phone
- (704) 785-4197
- NPI assigned
- Nov 10, 2021
- Last updated
- Nov 10, 2021
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | LD-P000290 | GA | Primary |
Addresses
Primary practice location
1253 Laurel Summit Dr SE
Smyrna, GA 30082-4331
Mailing address
1253 Laurel Summit Dr SE
Smyrna, GA 30082-4331
Phone (704) 785-4197
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 |
|---|---|---|---|
| LD-P000290 | GA | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1851057251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 LAUREL SUMMIT DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300824331",
"telephone_number": "704-785-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 LAUREL SUMMIT DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300824331",
"telephone_number": "704-785-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ALISA",
"credential": "LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "GA",
"license": "LD-P000290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
- Meghan Meredith, CHWC
- Mary Rogers Merrell, MS, NCC
- Joan Tolbert Merriweather, LCSW
- Metro Atlanta Psychiatry, PC
- Johnathan Richard Meuse Sr.
- Michael C Gordon MD LLC (Atlanta Center for Pain & Addiction Management)
- Michael C. Gordon MD, LLC
- Michael C. Gordon, MD, LLC
- Michael Family Chiropractic Inc
- Michael S McGarry PHD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.