ALEXANDRA GEORGIADIS RD
NPI 1114585015
Dietitian, Registered in Boulder, CO

Q: What is Alexandra Georgiadis's NPI number?

The NPI number for Alexandra Georgiadis is 1114585015. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Q: What is Alexandra Georgiadis's specialty?

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

Active since June 05, 2019

4410 ARAPAHOE AVE STE 110, BOULDER, CO 80303(720) 315-0051 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 5, 2024, Feb 6, 2024, Jun 5, 2019 (3 updates tracked since 2019).

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About Alexandra Georgiadis Rd NPPES

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

ALEXANDRA GEORGIADIS RD (NPI 1114585015) is an individual dietitian, registered in Boulder, Colorado, licensed in Michigan (86021201) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1114585015

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameALEXANDRA GEORGIADISCredential: RD

Location Address4410 ARAPAHOE AVE STE 110Boulder, CO 80303-1135

Mailing Address2222 W Grand River Ave Ste AOkemos, MI 48864-1604 · (248) 479-4497

Phone(720) 315-0051

Sole ProprietorNo

Enumeration DateJune 5, 2019

Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1114585015 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 MI · 86021201

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.

4410 ARAPAHOE AVE STE 110, Boulder, CO 80303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Georgiadis Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Georgiadis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Therapeutic Counseling & Addiction Services LLC

1,170 mi

Clinical

42627 GARFIELD RD STE 214
Clinton Township, MI 48038

Reassigned Medicare billing, Michigan enrollment
4 clinicians in this Medicare group

NPI 1225810666 (586) 310-8158

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

ANITA P BANCROFT RDN

Dietitian, Registered