Mary Ann Jorgensen, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

155878 Issued in AK

Practice address

8960 E Kilkenny Dr
Palmer, AK 99645-8928

Phone

(435) 764-3437

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1316887722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 E KILKENNY DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458928",
            "telephone_number": "435-764-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 E KILKENNY DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458928",
            "telephone_number": "435-764-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "MARY ANN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "155878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shelis R Jorgensen, ADVANCED NURSE PRACT
• Tyler Jorgensen, D.C., B.S.
• Josh Miller Counseling, LLC
• Miranda Jurik
• Cassandra Angela Justice, RN

• Registered Dietitian in Palmer, AK
• Providers in Palmer, AK by specialty
• Registered Dietitian in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.