Organization Active NPI

Rise Nutrition LLC

  • Registered Dietitian
  • Eagle River, AK
National Provider Identifier
1013764042
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on May 6, 2024

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

Authorized official

Name
Jessica McCartney, RDNPI 1265002034
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.