IndividualActive
Alyssa Fedor, MS RD
NPI 1174199798 · Registered Dietitian · Stillwater, MN
Alyssa Fedor, MS RD is a Registered Dietitian provider in Stillwater, MN (NPI 1174199798).
Provider details
- NPI number
- 1174199798
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS RD
- Sex
- Female
- Sole proprietor
- No
- License
- 3474 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
927 Churchill St W
Stillwater, MN 55082-6605
Phone: (651) 430-4602
Street-level locationGet directions
Mailing address
927 Churchill St W
Stillwater, MN 55082-6605
Additional practice locations (1)
- 927 Churchill St WStillwater, MN 55082-6605Phone: (651) 430-4602
Registry dates
- Enumerated
- 2021-06-03
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Frequently asked questions
- What is Alyssa Fedor's NPI number?
- Alyssa Fedor's National Provider Identifier (NPI) is 1174199798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alyssa Fedor's specialty?
- Alyssa Fedor is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Alyssa Fedor located?
- Alyssa Fedor's practice location on file with NPPES is 927 Churchill St W, Stillwater, MN 55082-6605.
- What is Alyssa Fedor's phone number?
- The practice phone number listed in the NPPES registry for Alyssa Fedor is (651) 430-4602.
- Is Alyssa Fedor's NPI active?
- Yes — Alyssa Fedor's NPI (1174199798) is active in the NPPES registry as of the last update on 2021-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.