Provider Demographics
NPI:1386110211
Name:REDDY, ALLISON PAIGE (RDN, LDN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:PAIGE
Last Name:REDDY
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2464 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-4496
Mailing Address - Country:US
Mailing Address - Phone:412-545-3407
Mailing Address - Fax:
Practice Address - Street 1:2464 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-4496
Practice Address - Country:US
Practice Address - Phone:412-545-3407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-18
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006611133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty