NPI 1750173530 · live from the CMS NPI Registry
Alisa Dietitian LLC
Dietitian, Registered in Arlington, MA. National Provider Identifier 1750173530, active.
NPI record
| NPI | 1750173530 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 20 Philemon St, Arlington, MA 02474 |
| Practice phone | 339-241-5312 |
| Enumerated | May 19, 2025 |
| Last updated | July 15, 2025 |
| Authorized official | Alisa Peterson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.