1. Home
  2. Directory
  3. Arizona
  4. Glendale
  5. Dietitian Registered
  6. NPI Profile

EVAJEAN ALPINE
NPI 1437040797
Dietitian, Registered in Glendale, AZ

Active since July 14, 2025
18001 N 79TH AVE STE A12, GLENDALE, AZ 85308(623) 399-6825(623) 505-3474 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evajean Alpine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAJEAN ALPINE (NPI 1437040797) is an individual dietitian, registered in Glendale, Arizona, licensed in Arizona (86209582) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1437040797
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameEVAJEAN ALPINE
Location Address18001 N 79TH AVE STE A12Glendale, AZ 85308-8398
Mailing Address18001 N 79th Ave Ste A12Glendale, AZ 85308-8398 · (623) 399-6825 · Fax (623) 505-3474
Phone(623) 399-6825
Fax(623) 505-3474
Sole ProprietorNo
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1437040797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AZ · 86209582
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
18001 N 79TH AVE STE A12, Glendale, AZ 85308
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evajean Alpine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Evajean Alpine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Am Nutrition Services
Same address
Dietitian, Registered
18001 N 79TH AVE STE A12
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • 54 clinicians in this Medicare group
NPI 1003011602 (623) 399-6825

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AM NUTRITION SERVICES
Dietitian, Registered
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308
Maricopa County (623) 399-6825
CARA JANSEN RD
Dietitian, Registered
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308
Maricopa County (623) 399-6825
JACQUELINE CARBAJAL
Dietitian, Registered
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308
Maricopa County (623) 399-6825
KELLY CREED RDN
Dietitian, Registered
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308
Maricopa County (623) 399-6825
DAISHAWN ROYLANCE RD
Dietitian, Registered
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308
Maricopa County (623) 399-6825
STEPHANIE CARPENTER RD
Dietitian, Registered
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308
Maricopa County (623) 399-6825
JULIE ANNE NELSON RDN
Dietitian, Registered
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308
Maricopa County (623) 399-6825
ANNALISA G AVERILL RD
Dietitian, Registered
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308
Maricopa County (623) 399-6825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evajean Alpine's NPI number?

The NPI number for Evajean Alpine is 1437040797. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Evajean Alpine located?

Evajean Alpine practices at 18001 N 79th Ave Ste A12, Glendale, AZ 85308. The listed phone number is (623) 399-6825.

What is Evajean Alpine's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Evajean Alpine enrolled in Medicare?

Yes. Evajean Alpine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evajean Alpine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evajean Alpine reassigns Medicare benefits to Am Nutrition Services (Glendale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evajean Alpine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evajean Alpine accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Evajean Alpine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evajean Alpine was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.