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

Alyssa Prollock, RD

Individual provider Oncology Nutrition Registered Dietitian · NPI 1215614409

Alyssa Prollock, RD is an Oncology Nutrition Registered Dietitian in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2023.

Licensed in
AK
In the registry since
2023
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

1640 Cowles St
Fairbanks, AK 99701-5908
Phone: (907) 458-5629
Show map & directions

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

Specialties & licences

Oncology Nutrition Registered Dietitian (primary) Taxonomy 133VN1301X · Licence 208636 (AK)

Record details

NPI number1215614409
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 27, 2023
Mailing address3981 Buckeye Ln Apt 1, Fort Wainwright, AK 99703-1609