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ALIXANDRA NICOLE FARISS
NPI 1659083533
Dietitian, Registered in Oklahoma City, OK

Active since December 22, 2022
5208 W RENO AVE, OKLAHOMA CITY, OK 73127(405) 948-4900(405) 948-4933 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2023, Dec 22, 2022 (2 updates tracked since 2022).

About Alixandra Nicole Fariss NPPES

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

ALIXANDRA NICOLE FARISS (NPI 1659083533) is an individual dietitian, registered in Oklahoma City, Oklahoma, licensed in Oklahoma (2821) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1659083533
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALIXANDRA NICOLE FARISS
Location Address5208 W RENO AVEOklahoma City, OK 73127-6344
Mailing Address4913 W Reno AveOklahoma City, OK 73127-6339 · (405) 948-4900 · Fax (405) 948-4933
Phone(405) 948-4900
Fax(405) 948-4933
Sole ProprietorNo
Enumeration DateDecember 22, 2022
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
✔ NPI 1659083533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OK · 2821
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.
Also ListedNutritionistTaxonomy 133N00000X · License 860 (OK)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 860 (OK)
5208 W RENO AVE, Oklahoma City, OK 73127
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alixandra Nicole Fariss is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Central Oklahoma American Indian Health Council, Inc.
0.2 mi
Federally Qualified Health Center (FQHC)
4913 W RENO AVE
Oklahoma City, OK 73127
  • Reassigned Medicare billing, Texas enrollment
  • 86 clinicians in this Medicare group
NPI 1407969728 (405) 948-4900

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.

MEGHIN OTILLIA DYSINGER
Health and Wellness Coach
5208 W RENO AVE
OKLAHOMA CITY, OK 73127
Oklahoma County (405) 948-4900
VERONICA VALLES MA
Counselor (Mental Health)
5208 W RENO AVE
OKLAHOMA CITY, OK 73127
Oklahoma County (405) 948-4900
AISA TRICE RD
Dietitian, Registered
5208 W RENO AVE
OKLAHOMA CITY, OK 73127
Oklahoma County (405) 948-4900
STETSON ROBERT SCHMITT DPT, OCS
Physical Therapist
5208 W RENO AVE
OKLAHOMA CITY, OK 73127
Oklahoma County (405) 948-4900
DR. BROOKE SARAH MUELLER MD
Pediatrics
5208 W RENO AVE
OKLAHOMA CITY, OK 73127
Oklahoma County (405) 948-4900
BRYAN ANDREW FEHR
Community Health Worker
5208 W RENO AVE
OKLAHOMA CITY, OK 73127
Oklahoma County (405) 948-4900
CHERYL LYNN COBB
Dental Hygienist
5208 W RENO AVE
OKLAHOMA CITY, OK 73127
Oklahoma County (405) 948-4900
DR. GABRIELLA ELISABETH PIERCE MD
Pediatrics
5208 W RENO AVE
OKLAHOMA CITY, OK 73127
Oklahoma County (405) 948-4900

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 Alixandra Fariss's NPI number?

The NPI number for Alixandra Fariss is 1659083533. It was assigned to this individual provider in the NPPES registry on December 22, 2022.

Where is Alixandra Fariss located?

Alixandra Fariss practices at 5208 W Reno Ave, Oklahoma City, OK 73127. The listed phone number is (405) 948-4900.

What is Alixandra Fariss's specialty?

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

Is Alixandra Fariss enrolled in Medicare?

Yes. Alixandra Fariss is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alixandra Fariss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alixandra Fariss reassigns Medicare benefits to Central Oklahoma American Indian Health Council, Inc. (Oklahoma City, OK). 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 Alixandra Fariss'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 Alixandra Fariss was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.