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

Southcentral Foundation

Organization Registered Dietitian · NPI 1689194250

Southcentral Foundation is a Registered Dietitian in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2017.

Licensed in
AK
In the registry since
2017

Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 729-8624
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 20467 (AK)

Record details

NPI number1689194250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Olson — Vp Of Finance · (907) 729-8624
NPI enumeratedJune 23, 2017
Last updated in NPPESJune 23, 2017
Mailing address4501 Diplomacy Dr, Anchorage, AK 99508-5919

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