Open Table Nutrition LLC
NPI 1972420123ActiveOrganization· Dietitian, Registered· Saint Louis, MO
Dietitian, Registered in Saint Louis, Missouri, registered in NPPES in June 2026. The authorized official on file is Jaclyn Alvarez, MS, RDN, CSOWM, LD, Authorized Official.
Overview
| NPI | 1972420123 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2026 |
| Last updated in NPPES | Aug 18, 2026 |
| Certified by provider | Aug 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
| Dietitian, Registered, Nutrition, Obesity and Weight Management | 133VN1201X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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