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ALEXIS BENNETT RD
NPI 1255294419
Dietitian, Registered in Logan, UT

Active since December 04, 2025

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alexis Bennett Rd NPPES

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

ALEXIS BENNETT RD (NPI 1255294419) is an individual dietitian, registered in Logan, Utah, licensed in Utah (14048463-4901) and active in the NPI registry since December 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1255294419
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALEXIS BENNETTCredential: RD
Location Address1400 N 500 ELogan, UT 84341-2455
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(435) 716-5439
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 4, 2025
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1255294419 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 UT · 14048463-4901
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.
1400 N 500 E, Logan, UT 84341
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5193204980
PECOS Enrollment IDI20260211002963

Medicare Billing Reassignment

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

Ihc Health Services, Inc
Same address
Pediatric Cardiology
1400 N 500 E
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1609567338 (Utah)
  • 1,729 clinicians in this Medicare group
NPI 1902936503 (801) 442-1400

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 20

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

SHAUN P DAHLE PT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-6440
BRANDON DAVID GREENWOOD PT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-1000
IHC HEALTH SERVICES INC
Obstetrics & Gynecology
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 752-0422
IHC HEALTH SERVICES INC
Preventive Medicine (Undersea and Hyperbaric Medicine)
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-2250
LOGAN RADIOLOGY GROUP LLC
Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Cache County (281) 980-1430
PARKER EUGENE LUDWIG MD
Radiology (Diagnostic Radiology)
1400 N 500 E
LOGAN, UT 84341
Cache County (800) 399-6438
NORTHERN UTAH PATHOLOGY PC
Pathology (Anatomic Pathology & Clinical Pathology)
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 716-5375
SARAH C SIEVERS DPT
Physical Therapist
1400 N 500 E
LOGAN, UT 84341
Cache County (435) 755-3360

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 Alexis Bennett's NPI number?

The NPI number for Alexis Bennett is 1255294419. It was assigned to this individual provider in the NPPES registry on December 4, 2025.

Where is Alexis Bennett located?

Alexis Bennett practices at 1400 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-5439.

What is Alexis Bennett's specialty?

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

Is Alexis Bennett enrolled in Medicare?

Yes. Alexis Bennett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexis Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Bennett reassigns Medicare benefits to Ihc Health Services, Inc (Logan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexis Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexis Bennett was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.