NPI 1982194890 · live from the CMS NPI Registry
Alyssa Baker Nutrition LLC
Dietitian, Registered in Frankfort, IL. National Provider Identifier 1982194890, active.
NPI record
| NPI | 1982194890 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 21200 S Lagrange Rd # 232, Frankfort, IL 60423 |
| Practice phone | 815-693-5110 |
| Mailing address | 9241 Birch Ave, Mokena, IL 60448 |
| Enumerated | May 16, 2018 |
| Last updated | May 7, 2021 |
| Authorized official | Alyssa Baker, 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.