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

Evajean Alpine

Individual provider Registered Dietitian · NPI 1437040797

Evajean Alpine is a Registered Dietitian OR Nutrition Professional in Glendale, Arizona. Qualified in 2021, 5 years ago. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2025

Practice location Address checks out

18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398
Phone: (623) 399-6825
Fax: (623) 505-3474
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86209582 (AZ)

Record details

NPI number1437040797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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