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
Mailing address18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398

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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