Fuel Lab

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FUEL LAB

Practice address

12030 Donner Pass Rd Ste 1-924
Truckee, CA 96161-0449

Phone

(509) 370-2371

NPI assigned

Dec 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mickinzie Allison Anderson, MS, RD, CSSD, SNSNPI 1578371571

Title

Ceo & Co-Founder

Phone

(509) 370-2371

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mickinzie Allison Anderson, MS, RD, CSSD, SNS

  • Registered Dietitian
  • Truckee, CA
  • NPI 1578371571

  Dietitian, Registered

  NPD Authorized official
• Kiley Field, MS, RD, CSSD

  • Registered Dietitian
  • Truckee, CA
  • NPI 1023826807

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1013725019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 DONNER PASS RD STE 1-924",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610449",
            "telephone_number": "509-370-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 DONNER PASS RD STE 1-924",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610449",
            "telephone_number": "509-370-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUEL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICKINZIE",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "CEO & CO-FOUNDER",
        "authorized_official_telephone_number": "509-370-2371",
        "authorized_official_credential": "MS, RD, CSSD, SNS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavawn Marie Forester, PHD RDN
• Amber Marie Acker Forster, NP
• Daniel Francke
• Carly Marie Friedman
• Matthew Joseph Friedman, MS, AMFT
• Alexa Marissa Pliskow Funk, MSW, LCSW
• Bonni Rae Funk, MA, LMHC, LPCC
• Camille Vera Gannam, D.M.D.
• Alison C Ganong, MD
• Richard B Ganong

• Registered Dietitian in Truckee, CA
• Providers in Truckee, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.