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Alexis Bennett , RD

Dietitian, Registered β€’ Logan, UT

Active NPI 1255294419 Individual Practitioner Female Practitioner
Practice location in NPPES

1400 N 500 E
Logan, UT 843412455

Call 4357165439 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1400 N 500 E

Logan, UT 843412455

Telephone 4357165439
Organization at the Same NPPES Address or Phone
Logan Radiology Group Llc Facility NPI 1043212988

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alexis Bennett has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Logan and Utah

41 active clinicians are listed under Dietitian, Registered with a practice address in Logan, UT (684 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Logan

2.4% of these 41 clinicians have the CMS telehealth indicator.

2.4% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-25
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES UT 14048463-4901

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20260211002963

Enrollment State Jurisdiction

UT

PECOS Control ID

5193204980

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Mark Anderson , MD

Radiology - Diagnostic Radiology

NPI 1376540955

Doctor of Medicine (M.D.)

Dr. Ryan Bair , MD

Radiology - Radiation Oncology

NPI 1841587094

Doctor of Medicine (M.D.)

Camra Bearnson , WHNP, CNM

Advanced Practice Midwife

NPI 1336654334

Women's Health Nurse Practitioner, Certified Nurse Midwife

NPI 1336899004

Doctor of Medicine (M.D.)

Dr. Mark Benedict , DO

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1497191860

Doctor of Osteopathic Medicine (D.O.)

NPI 1699917831

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address February 25, 2026

Registered at PO BOX 30180, SALT LAKE CITY, UT 841300180

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2026

Dietitian, Registered (license number reported to NPPES: UT 14048463-4901)

βœ…
NPI Profile Active December 04, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 04, 2025

Registered at 1400 N 500 E, LOGAN, UT 843412455 (Tel: 4357165439)

πŸ“
Business Mailing Address (Initial Record) December 04, 2025

Registered at 1400 N 500 E, LOGAN, UT 843412455 (Tel: 4357165439)

πŸ‘€
Provider Name / Credentials (Initial Record) December 04, 2025

Recorded as ALEXIS BENNETT, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2025

Dietitian, Registered (license number reported to NPPES: UT 86327046)

🟒
Initial NPI Registration & Enumeration December 04, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255294419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2025
Last Update: February 25, 2026
Sole Proprietor: No

Other Dietitian, Registereds in Logan

Healthcare providers in Logan

Mailing Address

Po Box 30180

Salt Lake City, UT 841300180

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.