Individual provider Active NPI

Alyssa Girten, RD

  • Registered Dietitian
  • South Salt Lake, UT
National Provider Identifier
1881265577
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
115994674901 Issued in UT
Practice address
2165 S Blair St
South Salt Lake, UT 84115-2840
Phone
(513) 535-8182
NPI assigned
Jul 5, 2021
Last updated
Jul 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.006621 IL
Registered Dietitian 133V00000X 115994674901 UT Primary

Addresses

Primary practice location

2165 S Blair St
South Salt Lake, UT 84115-2840

Mailing address

2165 S Blair St
South Salt Lake, UT 84115-2840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120001744 UT Practitioner - Registered Dietitian Or Nutrition Professional 9032501234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164.006621ILMDRegistered Dietitian
115994674901UTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Memorial Clinic Current Accepting new patients
Tanner Memorial Clinic CurrentSince Jan 1, 2022 Accepting new patients
Tanner Memorial Clinic CurrentSince Jan 1, 2022 Accepting new patients
Rosenberg Cooley Metcalf LC Past Accepting new patients

Locations

1750 E 3100 N
Layton, UT 84040
Phone (385) 405-2252

Organizations & group practices 4

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": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1881265577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 S BLAIR ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 S BLAIR ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841152840",
            "telephone_number": "513-535-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRTEN",
        "first_name": "ALYSSA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.006621",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "115994674901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.