MEDICARE: ALLISON BEACH NUTRITION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1710707823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLISON BEACH NUTRITION, LLC

Provider Business Mailing Address
First Line	:	2104 LARKSPUR DR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4134
Country	:	US
Telephone Number	:	469-892-8518
Fax Number	:

Provider Business Practice Location Address
First Line	:	6275 W PLANO PKWY STE 500
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4942
Country	:	US
Telephone Number	:	469-892-8518
Fax Number	:	469-896-4824

Authorized Official
Title or Position	:	OWNER/REGISTERED DIETITIAN
Name	:	MRS. ALLISON BEACH
Credential	:	MS, RDN, CSR, LD
Telephone Number	:	469-892-8518

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	12/29/2025

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