Alexandra Evanson, MS, RD, LRD
Individual provider Active NPI Registered Dietitian · Oxbow, ND
NPI 1346038718 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1346038718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1326 (ND)
- Practice address
- 114 Westview LN
Oxbow, ND 58047-7200 - Phone
- (651) 269-2844
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1326 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1326 | ND | Yes |
Addresses
Primary practice location
114 Westview LN
Oxbow, ND 58047-7200
Mailing address
114 Westview LN
Oxbow, ND 58047-7200
Other providers in Oxbow, ND
All providers in Oxbow, ND · Registered Dietitian in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.