ALEXA BREANNE PULLEN (NPI# 1235792177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235792177 |
| Entity Type | Individual |
| Full Name | ALEXA BREANNE PULLEN |
| Credential | NUTRITIONIST |
| Practice Address |
3161 E Palmer Wasilla Hwy Ste 1c Wasilla AK 99654-7271 |
| Mailing Address |
2271 W Ridgewood Dr Wasilla AK 99654-5331 |
| Practice Telephone | 9073571818 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | 145169 | AK | Dietary & Nutritional Service Providers |
| Street Address |
3161 E PALMER WASILLA HWY STE 1C |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487637948 | Darlene S. Dunn | Nurse Practitioner | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2005-11-29 |
| 1679108005 | Brandy Coe | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2020-03-05 |
| 1932744836 | Altair Integrative Wellness | Nurse Practitioner | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-11-14 |
| 1740846807 | Dopanine LLC | Nutritionist | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-05-14 |
| 1295293074 | Caliann Taborsky | Massage Therapist | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-03-11 |
| 1982657144 | Tammy L Saddler | Chiropractor | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| 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. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881062354 | Brisa Alegria | Nutritionist | 1001 W Adson Rd, Wasilla, AK 99654-8723 | 2015-09-14 |
| 1740846807 | Dopanine LLC | Nutritionist | 3161 E Palmer Wasilla Hwy Ste 1c, Wasilla, AK 99654-7271 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396302519 | Cicely Shankle | Nutritionist | 1897 Rj Loop, Fairbanks, AK 99709-4145 | 2019-05-22 |
| 1528341781 | Ellen Mareen Olson | Nutritionist | 2295 Stevens Ave, Fairbanks, AK 99709-6284 | 2011-09-23 |
| 1841504883 | Stephanie Ann Figon | Nutritionist | 2030 South Killarney Drive, Palmer, AK 99645 | 2010-08-02 |
| 1700245222 | Suanne Faith Sikkema | Nutritionist | 610 W 2nd Ave, Suite 100, Anchorage, AK 99501-2151 | 2016-02-11 |
| 1225276777 | Minette Sue Ridenour Herrick | Nutritionist | 673d Mdg, 5955 Zeamer Avenue, Anchorage, AK 99506 | 2009-01-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.