Alyssa Baker Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ALYSSA BAKER NUTRITION LLC

Practice address

21200 S Lagrange Rd # 232
Frankfort, IL 60423-2003

Phone

(815) 693-5110

NPI assigned

May 16, 2018

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa Baker, MS RDNPI 1558851469

Title

Owner

Phone

(815) 693-5110

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyssa Baker, MS RD

  • Registered Dietitian
  • Frankfort, IL
  • NPI 1558851469

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1982194890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 BIRCH AVE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488326",
            "telephone_number": "815-693-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21200 S LAGRANGE RD # 232",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232003",
            "telephone_number": "815-693-5110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8032 Enclave Ln",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604877029",
            "country_code": "US",
            "telephone_number": "815-693-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALYSSA BAKER NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-693-5110",
        "authorized_official_credential": "MS RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.