Active NPI
Alexandra Lauren Krause, RDN, LDN
- Registered Dietitian
- Salt Lake City, UT
National Provider Identifier
1841045390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 13504857-4901
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13504857-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandra Krause Nutrition | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- Salt Lake City, UT
- NPI 1437981040
Dietitian, Registered
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.