ALYSSA STROM (NPI# 1770104747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770104747 |
| Entity Type | Individual |
| Full Name | ALYSSA STROM |
| Practice Address |
3025 Breckinridge Blvd Ste 160 Duluth GA 30096-8985 |
| Mailing Address |
5051 Station Cir Norcross GA 30071-4560 |
| Practice Telephone | 6784476637 |
| Mailing Telephone | 6784476637 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD005012 | GA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RD STATE LICENSE | LD005012 | 01 |
| Street Address |
3025 BRECKINRIDGE BLVD STE 160 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922142041 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3025 Breckinridge Blvd Ste 160, Duluth, GA 30096-8985 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1043727993 | Amy Joyce Nicholos | Dietitian, Registered | 3980 Gallant Fox Ct, Duluth, GA 30096-5416 | 2018-01-01 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1255874194 | Rahaf Al Bochi | Dietitian, Registered | 2951 Satellite Blvd, Apt 1732, Duluth, GA 30096-2328 | 2016-11-26 |
| 1710344569 | Julia Callahan | Dietitian, Registered | 375 Wentworth Downs Ct, Duluth, GA 30097-7120 | 2016-01-25 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1710229349 | Sherie Nelson | Dietitian, Registered | 214 Isanti St, Duluth, MN 55803-2011 | 2013-03-21 |
| 1427300375 | Parul Shah | Dietitian, Registered | 3294 Islesworth Trce, Duluth, GA 30097-6289 | 2012-10-02 |
| 1962532481 | Cristina Kim | Dietitian, Registered | 1160 Old Peachtree Rd, Duluth, GA 30097-5125 | 2007-03-06 |
| 1811533821 | Alyssa Hammitt | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802-2266 | 2019-11-25 |
| Find all providers in DULUTH | ||||
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| 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.