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 is a Registered Dietitian 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
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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