Active NPI
Rise Nutrition LLC
- Registered Dietitian
- Eagle River, AK
National Provider Identifier
1013764042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- RISE NUTRITION LLC
- Practice address
- 17451 Yellowstone Dr
Eagle River, AK 99577-9019 - Phone
- (817) 995-4535
- NPI assigned
- May 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica McCartney, RD
- Title
- Owner
- Phone
- (817) 995-4535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
17451 Yellowstone Dr
Eagle River, AK 99577-9019
Mailing address
645 G St Ste 100-1074
Anchorage, AK 99501-3443
National Provider Directory
National Provider DirectoryLocations
645 G St
Anchorage, AK 99501
645 G St
Ste 100
Anchorage, AK 99501
645 G St
Ste 1001074
Anchorage, AK 99501
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1013764042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 G ST STE 100-1074",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995013443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17451 YELLOWSTONE DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995779019",
"telephone_number": "817-995-4535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "MCCARTNEY",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-995-4535",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.