Alyssa Prollock, RD
Oncology Nutrition Registered Dietitian · Fairbanks, AK
Alyssa Prollock, RD is an oncology nutrition registered dietitian with a practice address in Fairbanks, Alaska, and NPI 1215614409, issued on Jun 29, 2023. Check the license (Alaska 208636, as entered in NPPES) with the Alaska board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Alyssa Prollock
- Credential
- RD
- Primary taxonomy
- Oncology Nutrition Registered Dietitian 133VN1301X
- License number
- 208636 AK
Self-reported in NPPES; status is on the state search - Practice location
- 1640 Cowles St, Fairbanks, AK 99701
- Phone
- (907) 458-5629
- Enumerated
- Jun 29, 2023
- Record last updated
- Jun 29, 2023
- Medicare enrollment
- Enrolled (PECOS I20240506001390); accepts Medicare assignment
- Entity
- Type 1 · individual
All 1 in Alaska → Look up another NPI →
Also registered at 1640 Cowles St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Britni Browning, PA-CPhysician Assistant1215329529
- Jacqueline Cox, MDHematology & Oncology Physician1538153564
- Angela Emerson, PA-CPhysician Assistant1669100921
- Nancy Schupp, ANPNurse Practitioner1669587036
Verify Alyssa Prollock in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Alaska board licenses this profession
Search for license 208636Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Tanana Valley Clinic LLCFairbanks, AK
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Oncology Nutrition Registered Dietitian providers in Alaska
There are 1 oncology nutrition registered dietitian records in Alaska.
All 1 in Alaska → Every provider in Fairbanks → Oncology Nutrition Registered Dietitian nationwide →
Common questions
What is Alyssa Prollock, RD's NPI number?
Alyssa Prollock, RD's National Provider Identifier (NPI) is 1215614409, issued on Jun 29, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Alyssa Prollock, RD located?
The NPPES record lists a practice address at 1640 Cowles St, Fairbanks, AK, 99701. Phone: (907) 458-5629. Providers update this record themselves, so call before visiting.
How can I verify Alyssa Prollock, RD's license?
NPPES lists Alaska license number 208636, as entered by the provider. Search the Alaska board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.