Active NPI
Alyssa Green, MS RD LD
- Registered Dietitian
- Round Rock, TX
National Provider Identifier
1962287219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86295617
- Practice address
- 1000 Gattis School Rd Ste 150B
Round Rock, TX 78664-2566 - Phone
- (512) 609-0651
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT88819 | TX | |
| Registered Dietitian | 133V00000X | 86295617 | Primary |
Addresses
Primary practice location
1000 Gattis School Rd Ste 150B
Round Rock, TX 78664-2566
Mailing address
6307 Bluff Springs Rd Apt 524
Austin, TX 78744-4224
Phone (804) 898-0270
Other names 1
- Al Green
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 |
|---|---|---|---|
| DT88819 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalie Grun, RDN, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1962287219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6307 BLUFF SPRINGS RD APT 524",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787444224",
"telephone_number": "804-898-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GATTIS SCHOOL RD STE 150B",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642566",
"telephone_number": "512-609-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ALYSSA",
"credential": "MS RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88819",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86295617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AL",
"last_name": "GREEN",
"credential": "MS RD LD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Round Rock, TX
- Great Legacy Home and Community Services
- Great Oaks Family Practice, PA
- Greater Austin Allergy, Asthma & Immunology PA
- Greater Texas Neuromonitoring LLC
- Green Couch Counseling, PLLC
- Heather Green, NUTRITIONAL EDUCATOR
- Jason Green, RBT
- Kaitlynn Beth Green, RBT
- Kelsey Patricia Green, PT, DPT
- Kristle Green, PHARMD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.