Alexandra Georgiadis, RD
NPI 1114585015ActiveIndividual· Dietitian, Registered· Boulder, CO
Dietitian, Registered (RD) in Boulder, Colorado, licensed in MI, with an NPI issued in June 2019. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1114585015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Jun 5, 2019 |
| Last updated in NPPES | Mar 5, 2024 |
| Certified by provider | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86021201 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (MI) |
|---|
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