Individual provider Active NPI

Alyse Megan Fields, RD, LD

  • Registered Dietitian
  • Springfield, MO
National Provider Identifier
1871892083
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2007022844 Issued in MO
Practice address
1965 S Fremont Ave Ste 300
Springfield, MO 65804-2278
Phone
(417) 820-7731
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 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 2007022844 MO Primary

Addresses

Primary practice location

1965 S Fremont Ave Ste 300
Springfield, MO 65804-2278

Mailing address

1965 S Fremont Ave Ste 300
Springfield, MO 65804-2278
Phone (417) 820-7731

Other practice location 1

2900 S National Ave
Springfield, MO 65804-3634
Phone (417) 269-1499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024002623 MO Practitioner - Registered Dietitian Or Nutrition Professional 5890027858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007022844MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Nov 1, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 1, 2021 Accepting new patients

Locations

1965 S Fremont Ave
Ste 300
Springfield, MO 65804
Phone (417) 820-2936

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 2

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": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1871892083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042278",
            "telephone_number": "417-820-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042278",
            "telephone_number": "417-820-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658043634",
            "country_code": "US",
            "telephone_number": "417-269-1499",
            "fax_number": "417-269-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "ALYSE",
        "middle_name": "MEGAN",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2007022844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.