Individual provider Active NPI

Alexandra Lauren Krause, RDN, LDN

  • Registered Dietitian
  • Salt Lake City, UT
National Provider Identifier
1841045390
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
13504857-4901 Issued in UT
Practice address
2223 S Highland Dr Ste E6223
Salt Lake City, UT 84106-3672
Phone
(919) 627-5532
NPI assigned
Apr 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X 13504857-4901 UT Primary

Addresses

Primary practice location

2223 S Highland Dr Ste E6223
Salt Lake City, UT 84106-3672

Mailing address

2543 S Park St
Salt Lake City, UT 84106-1307
Phone (919) 627-5532

Other practice location 1

900 Round Valley Dr
Park City, UT 84060-7552
Phone (435) 658-7000

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

LicenseStateTypeSpecialty
13504857-4901UTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Krause Nutrition Dietitian, Registered CurrentSince Sep 23, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

2223 S Highland Dr
Ste E6223
Salt Lake City, UT 84106
Phone (919) 627-5532

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1841045390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 S PARK ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061307",
            "telephone_number": "919-627-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 S HIGHLAND DR STE E6223",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063672",
            "telephone_number": "919-627-5532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Round Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840607552",
            "country_code": "US",
            "telephone_number": "435-658-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "ALEXANDRA",
        "middle_name": "LAUREN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "13504857-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.