NPI 1245817303 · live from the CMS NPI Registry
Alexandra Maccarthy Babcock, MPH, RDN, DipACLM
Dietitian, Registered in Ypsilanti, MI. National Provider Identifier 1245817303, active.
NPI record
| NPI | 1245817303 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5320 Elliott Dr, Ypsilanti, MI 48197 |
| Practice phone | 734-712-7451 |
| Mailing address | 11199 Silver Lake Rd, Brighton, MI 48116 |
| Enumerated | March 25, 2021 |
| Last updated | March 25, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86112033 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.