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Active NPI 1063966984 Individual Practitioner Female Practitioner

Alyssa Reau Broadwater , MS, RD, LD, CSCS

Dietitian, Registered • Dublin, OH

Professional Overview & Biography Verified Profile Summary

Alyssa Broadwater, MS, RD, LD, CSCS is a registered healthcare professional specializing in Dietitian, Registered in Dublin, OH. Practice services are available at 4353 TULLER RD STE K under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4353 Tuller Rd Ste K

Dublin, OH 430175071

Telephone 9376429037
Associated Practice Facility / Clinic
🏢 Willow Health And Performance Facility NPI 1134731789

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Dublin, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Dublin, OH (2603 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-17
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OH 8024

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kali Schierl

Dietitian, Registered

NPI 1952123739

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 17, 2020

Registered at 4353 TULLER RD STE K, DUBLIN, OH 430175071 (Tel: 9376429037)

📍
Updated Business Mailing Address August 17, 2020

Registered at 135 KENNY LN, CARDINGTON, OH 433159611 (Tel: 9376429037)

👤
Provider Name / Credentials Updated August 17, 2020

Recorded as ALYSSA BROADWATER, MS, RD, LD, CSCS

NPI Profile Active August 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2016

Registered at 5407 ASHERBRAND LN, APT A, DUBLIN, OH 430175083 (Tel: 9376429037)

📍
Updated Business Mailing Address August 09, 2016

Registered at 5407 ASHERBRAND LN, APT A, DUBLIN, OH 430175083 (Tel: 9376429037)

👤
Provider Name / Credentials Updated August 09, 2016

Recorded as ALYSSA REAU, RD, LD, CISSN, CPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2016

Dietitian, Registered (License #8024 in OH)

🟢
Initial NPI Registration & Enumeration August 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063966984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2016
Last Update: August 17, 2020
Sole Proprietor: Yes

Mailing Address

135 Kenny Ln

Cardington, OH 433159611

Phone: 9376429037

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.