Active NPIOrganization

Alisa Dietitian LLC

Dietitian, Registered in Arlington, Massachusetts

NPI Number1750173530
Practice location
20 Philemon St, Arlington, MA 02474-1353
Fax
—
Last updated
July 15, 2025

Alisa Dietitian LLC is a healthcare organization based in Arlington, MA. Alisa Dietitian LLC practices in Arlington, MA. The NPI Number for Alisa Dietitian LLC is 1750173530. The current practice location address for Alisa Dietitian LLC is 20 Philemon St, Arlington, MA 02474-1353 and can be reached out via phone at 339-241-5312.

Provider Profile Details

NPI Number
1750173530
Provider Name
Alisa Dietitian LLC
Provider Entity Type
Organization
Address
20 Philemon St, Arlington, MA 02474-1353
Phone Number
339-241-5312
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Alisa Peterson, RDN, LDN · Owner · 339-241-5312
Provider Enumeration Date
May 19, 2025
Last Update Date
July 15, 2025
Certification Date
July 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Philemon St
Arlington, MA 02474-1353
Zip
02474-1353
Phone Number
339-241-5312
Arlington, MA 02474Get directions →

Provider Business Mailing Address Details

Address
20 Philemon St
Arlington, MA 02474-1353
City
Arlington
State
MA
Zip
02474-1353
Phone Number
339-241-5312

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alisa Dietitian LLC?

The NPI number of Alisa Dietitian LLC is 1750173530. It was assigned on May 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Alisa Dietitian LLC?

Alisa Dietitian LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Alisa Dietitian LLC practice?

The practice location is 20 Philemon St, Arlington, MA 02474-1353. The office can be reached at 339-241-5312 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750173530 directly on the NPPES registry website.

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