Willow Health and Performance
NPI 1134731789ActiveOrganization· Dietitian, Registered· Dublin, OH
Dietitian, Registered in Dublin, Ohio, registered in NPPES in August 2020. The authorized official on file is Alyssa Reau Broadwater, MS, RD, LD, CSCS, Dietitian.
Overview
| NPI | 1134731789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2020 |
| Last updated in NPPES | Aug 17, 2020 |
| Certified by provider | Aug 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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