Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alaska Innovative Medicine, Inc

Organization Registered Dietitian · NPI 1780065227

Alaska Innovative Medicine, Inc provides Registered Dietitian services in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2015.

Licensed in
AK
In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4300 B St Ste 200
Anchorage, AK 99503-5933 Not confirmed with CMS for 11 years — call before visiting
Phone: (907) 229-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence NURR13740 (AK)
Registered Dietitian Taxonomy 133V00000X · Licence DTND156 (AK)

Record details

NPI number1780065227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristi Davis — Administrator · (907) 229-8777
NPI enumeratedJune 10, 2015
Last updated in NPPESJune 10, 2015
Mailing address4300 B St Ste 200, Anchorage, AK 99503-5933

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