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ALYSSA REAU BROADWATER MS, RD, LD, CSCS
NPI 1063966984
Dietitian, Registered in Dublin, OH

Active since August 09, 2016
4353 TULLER RD STE K, DUBLIN, OH 43017(937) 642-9037 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2020, Aug 9, 2016 (2 updates tracked since 2016).

About Alyssa Reau Broadwater Ms, Rd, Ld, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA REAU BROADWATER MS, RD, LD, CSCS (NPI 1063966984) is an individual dietitian, registered in Dublin, Ohio, licensed in Ohio (8024) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1063966984
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALYSSA REAU BROADWATERCredential: MS, RD, LD, CSCS
Location Address4353 TULLER RD STE KDublin, OH 43017-5071
Mailing Address135 Kenny LnCardington, OH 43315-9611 · (937) 642-9037
Phone(937) 642-9037
Sole ProprietorYes
Enumeration DateAugust 9, 2016
Last NPPES UpdateAugust 17, 20202 updates tracked since enumeration
NPPES CertifiedAugust 17, 2020
✔ NPI 1063966984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OH · 8024
Definition
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.
4353 TULLER RD STE K, Dublin, OH 43017
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLOW HEALTH AND PERFORMANCE
Dietitian, Registered
4353 TULLER RD STE K
DUBLIN, OH 43017
Franklin County (937) 642-9037
MR. STEVEN MENAPACE A.T.,C.
Specialist/Technologist (Athletic Trainer)
4353 TULLER RD STE K
DUBLIN, OH 43017
Franklin County (614) 734-3278
KALI ANNE SCHIERL
Dietitian, Registered
4353 TULLER RD STE K
DUBLIN, OH 43017
Franklin County (937) 642-9037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Broadwater's NPI number?

The NPI number for Alyssa Broadwater is 1063966984. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Alyssa Broadwater located?

Alyssa Broadwater practices at 4353 Tuller Rd Ste K, Dublin, OH 43017. The listed phone number is (937) 642-9037.

What is Alyssa Broadwater's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Alyssa Broadwater was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.