EVAJEAN ALPINE
NPI 1437040797
Dietitian, Registered in Glendale, AZ

Q: 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.

Q: What is Evajean Alpine's specialty?

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

Q: 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 14 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.

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: September 06, 2026.

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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. She is a graduate of Other (2021).

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

Medical School CMSOtherGraduated 2021

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9739696204

PECOS Enrollment IDI20250729003067

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