Active NPI
Aleene Poulsen, RD, LD
- Registered Dietitian
- Juneau, AK
National Provider Identifier
1689092199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 323
- Practice address
- 3245 Hospital Dr
Juneau, AK 99801-7809 - Phone
- (907) 463-4097
- Fax
- (907) 463-6672
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 323 | AK | Primary |
Addresses
Primary practice location
3245 Hospital Dr
Juneau, AK 99801-7809
Mailing address
3245 Hospital Dr
Juneau, AK 99801-7809
Phone (907) 463-4097
Other names 1
- Aleene Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323 | AK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1689092199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HOSPITAL DR",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017809",
"telephone_number": "907-463-4097",
"fax_number": "907-463-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 HOSPITAL DR",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017809",
"telephone_number": "907-463-4097",
"fax_number": "907-463-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULSEN",
"first_name": "ALEENE",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEENE",
"last_name": "JONES",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.