Active NPI
Alessia Russo, MS,RD,LD
- Registered Dietitian
- Westlake, OH
National Provider Identifier
1912366360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 7840
- Practice address
- 1564 Winchester Dr
Apt 1564
Westlake, OH 44145-2114 - Phone
- (440) 465-1308
- NPI assigned
- Feb 14, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD 7840 | OH | Primary |
Addresses
Primary practice location
1564 Winchester Dr
Apt 1564
Westlake, OH 44145-2114
Mailing address
1564 Winchester Dr
Apt 1564
Westlake, OH 44145-2114
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD 7840 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455408000000",
"number": "1912366360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1564 WINCHESTER DR",
"address_2": "APT 1564",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1564 WINCHESTER DR",
"address_2": "APT 1564",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452114",
"telephone_number": "440-465-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "ALESSIA",
"credential": "MS,RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-14",
"last_updated": "2016-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD 7840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.