ALYSSA REAU BROADWATER


Address: 4353 Tuller Rd Ste K, Dublin, OH 43017-5071
Phone: 9376429037

ALYSSA REAU BROADWATER (NPI# 1063966984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063966984
Entity Type Individual
Full Name ALYSSA REAU BROADWATER
Credential MS, RD, LD, CSCS
Practice Address 4353 Tuller Rd Ste K
Dublin
OH 43017-5071
Mailing Address 135 Kenny Ln
Cardington
OH 43315-9611
Practice Telephone 9376429037
Mailing Telephone 9376429037
Enumeration Date 2016-08-09
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 8024 OH Dietary & Nutritional Service Providers

Other Providers ALYSSA BROADWATER

NPI Name Taxonomy Address Enumeration
1245866276 Alyssa Broadwater Physician Assistant 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 2020-03-21

Office Location

Street Address 4353 TULLER RD STE K
City DUBLIN
State OH
Zip Code 43017-5071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598977183 Steven Menapace Specialist/Technologist 4353 Tuller Rd Ste K, Dublin, OH 43017-5071 2007-05-04
1134731789 Willow Health and Performance Dietitian, Registered 4353 Tuller Rd Ste K, Dublin, OH 43017-5071 2020-08-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770048894 Teresa O'connell Dermatology Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 2019-02-02
1356814560 Trishaya Spain-austin Behavior Technician 545 Metro Place North, Suite 100, Dublin, OH 43017 2019-01-10
1669955902 Tamara Moss Occupational Therapist 10516 Sawmill Road, Suite B, Dublin, OH 43017 2018-09-12
1548753692 Complex Wound Consultant L.L.C. Surgery 5712 Southby Ct, Dublin, OH 43017 2018-06-13
1063916948 Enabling Recovery LLC Community/Behavioral Health 5945 Sawmill Rd Ste B, Dublin, OH 43017 2018-03-23
1750898839 Inner Health Chiropractic, Inc Chiropractor 220 West Bridge, Inner Health Chiropractic, Dublin, OH 43017 2018-01-10
1598274144 Catherine Ann Albrecht Case Manager/Care Coordinator 525 Metro Place N., Dublin, OH 43017 2017-09-27
1346769338 Rachel Mary Baldwin Speech-Language Pathologist 9892 Macdonald Dr., Dublin, OH 43017 2017-09-12
1629596275 Julie Battaglia Counselor 525 Metro Place, Suite 100, Dublin, OH 43017 2017-09-05
1205365541 Tracey Lechner Speech-Language Pathologist 7424 Coventry Woods Drive, Dublin, OH 43017 2017-06-09
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457965295 Xuechen Pei Dietitian, Registered 6502 Timble Falls Dr, Dublin, OH 43016-7766 2020-08-31
1366069775 Whitney Norma Leal Estrada Dietitian, Registered 5071 Round Hill Dr, Dublin, CA 94568-8806 2020-07-01
1306472089 Rida Wali Dietitian, Registered 4635 Avery Ct, Dublin, CA 94568-4349 2020-03-13
1457704686 Nader Armanios Dietitian, Registered 5516 Eaglebrook Ter, Dublin, CA 94568-1187 2016-07-22
1467804450 Caitlin Sare Dietitian, Registered 2903 Christopher John Dr, Unit 304, Dublin, OH 43017-2921 2016-07-01
1295186716 Whole Nutrition Perspectives LLC Dietitian, Registered 123 N Main St Ste 102c2, Dublin, PA 18917-2107 2016-06-27
1306273537 Ann M Coogle Dietitian, Registered 107 Red Fox Run, Dublin, GA 31021-4359 2013-10-02
1841630670 Poppy Anderson Dietitian, Registered 7315 Starward Dr Apt 57, Dublin, CA 94568-1861 2013-06-25
1932442282 Cynthia Ann Berner Dietitian, Registered 5529 Parker Hill Ln, Dublin, OH 43017-3061 2013-04-04
1689964884 Colleen Luther Dietitian, Registered 5858 Garden Grove Blvd, Dublin, OH 43017-2523 2011-04-10
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Competitor

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City DUBLIN
Zip Code 43017

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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