Provider Demographics
NPI:1457605255
Name:CONSIGLI, ALYSSA B (RD, CSSD)
Entity Type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:B
Last Name:CONSIGLI
Suffix:
Gender:F
Credentials:RD, CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 FARMALL DR
Mailing Address - Street 2:
Mailing Address - City:HINESBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05461-4444
Mailing Address - Country:US
Mailing Address - Phone:802-598-1448
Mailing Address - Fax:
Practice Address - Street 1:222 FARMALL DR
Practice Address - Street 2:
Practice Address - City:HINESBURG
Practice Address - State:VT
Practice Address - Zip Code:05461-4444
Practice Address - Country:US
Practice Address - Phone:802-598-1448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT074.0000182133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered