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Alexa Breanne Pullen , RD

Dietitian, Registered β€’ Eagle River, AK

Active NPI 1235792177 Individual Practitioner Female Practitioner
Practice location in NPPES

19239 Darby Rd
Eagle River, AK 99577

Call 9078544482 Location details and other listings
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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

19239 Darby Rd

Eagle River, AK 99577

Telephone 9078544482
Organization at the Same NPPES Address or Phone
Dopanine Llc Facility NPI 1740846807

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

NPI first issued

2019

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

Compared with the same specialty in Eagle River and Alaska

8 active clinicians are listed under Dietitian, Registered with a practice address in Eagle River, AK (237 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

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: 2024-11-17
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES AK 229812

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.

Nutritionist

NUCC Taxonomy Code: 133N00000X

License # reported to NPPES AK 145169

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES TX DT86980

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: Alaska State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location November 20, 2024

Registered at 19239 DARBY RD, EAGLE RIVER, AK 99577 (Tel: 9078544482)

πŸ“
Updated Business Mailing Address November 20, 2024

Registered at 12110 BUSINESS BLVD STE 6, PMB 189, EAGLE RIVER, AK 995777798 (Tel: 9078544482)

πŸ‘€
Provider Name / Credentials Updated November 20, 2024

Recorded as ALEXA PULLEN, RD

βœ…
NPI Profile Active April 16, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 16, 2019

Registered at 3161 E PALMER WASILLA HWY STE 1C, WASILLA, AK 996547271 (Tel: 9073571818)

πŸ“
Business Mailing Address (Initial Record) April 16, 2019

Registered at 2271 W RIDGEWOOD DR, WASILLA, AK 996545331

πŸ‘€
Provider Name / Credentials (Initial Record) April 16, 2019

Recorded as ALEXA PULLEN, NUTRITIONIST

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2019

Nutritionist (license number reported to NPPES: AK 145169)

🟒
Initial NPI Registration & Enumeration April 16, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235792177
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2019
Last Update: November 20, 2024
Sole Proprietor: No

Mailing Address

12110 Business Blvd Ste 6, Pmb 189

Eagle River, AK 995777798

Phone: 9078544482

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.