Dietitian Approved Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIETITIAN APPROVED NUTRITION, LLC

Practice address

11641 Sandwood CT
Indianapolis, IN 46235-6038

Phone

(317) 835-9871

Fax

(317) 836-2493

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Jessica L. McAllister, RDNPI 1740463181

Title

Owner

Phone

(317) 835-9871

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Latoya McAllister, MS, RD, LD

  • Registered Dietitian
  • Tripler AMC, HI
  • NPI 1740463181

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1962072124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11641 SANDWOOD CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462356038",
            "telephone_number": "317-835-9871",
            "fax_number": "317-836-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11641 SANDWOOD CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462356038",
            "telephone_number": "317-835-9871",
            "fax_number": "317-836-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIAN APPROVED NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-835-9871",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer/EMR",
            "affiliation": "N",
            "endpointDescription": "Secure Network",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11641 Sandwood Ct",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462356038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Damon S. Dierker, O.D.
• Ericka R Diestler, M.S. CF-SLP
• Keith D Dietel, PA-C
• Lakin Dietel, PA-C
• Kristen Lea Dieter, M.S.
• Angela M. Dietrich Kusch, MD
• Christopher Wayne Dietrich, PA
• Frank Christopher Dietz, RN
• John W Dietz Jr., MD
• Charles Joseph Dietzen, M.D.

• Registered Dietitian in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.