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Open Table Nutrition LLC

Open Table Nutrition LLC is a healthcare organization registered as Registered Dietitian in Harrisonville, MO, holding Type 2 (organization) NPI 1972420123 since 2026. The authorized official on file is Jaclyn Alvarez, Authorized Official.

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NPI 1972420123
Entity type Organization (Type 2)
Legal business name Open Table Nutrition LLC
Practice address 117 S LEXINGTON ST STE 100, Harrisonville, MO, 64701
Phone 314-282-5181
Enumeration date 2026-06-30
Last updated in NPPES 2026-07-08

Authorized official

Name Jaclyn Alvarez
Title Authorized Official
Phone 3142825181

Taxonomy & classification

Taxonomy code Specialty Primary License State
133V00000X Registered Dietitian Primary
133VN1201X Obesity and Weight Management Nutrition Registered Dietitian Secondary
Copy-ready billing details
Provider: Open Table Nutrition LLC
NPI: 1972420123
Taxonomy: 133V00000X (Registered Dietitian)
Address: 117 S LEXINGTON ST STE 100, Harrisonville, MO, 64701

Providers at this address

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1790601268 Alderstone LLC Organization Clinical Medical Laboratory Harrisonville, MO
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1962328435 Codelogic LLC Organization Durable Medical Equipment & Medical Supplies Harrisonville, MO
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1316863806 Alderstone LLC Organization Durable Medical Equipment & Medical Supplies Harrisonville, MO
1891611380 Alderstone LLC Organization Radiology Clinic/Center Harrisonville, MO
1700702297 Alderstone LLC Organization Urgent Care Clinic/Center Harrisonville, MO

Verify this record

Cross-check NPI 1972420123 against the authoritative CMS record: view Open Table Nutrition LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Open Table Nutrition LLC?
NPPES lists Jaclyn Alvarez (Authorized Official) as the authorized official for this organization.
What is the NPI number for Open Table Nutrition LLC?
The NPI for Open Table Nutrition LLC is 1972420123, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-07-08.