Alexandra Marie Ishmael, LICENSED DIETITIAN
NPI 1265099758ActiveIndividual· Dietitian, Registered· Springfield, IL
Dietitian, Registered (LICENSED DIETITIAN) in Springfield, Illinois, with an NPI issued in May 2019. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1265099758 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICENSED DIETITIAN |
| Sole proprietor | No |
| NPI issued | May 21, 2019 |
| Last updated in NPPES | May 21, 2019 |
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) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (IL) |
|---|
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