MEDICARE: ELEVATE NUTRITION AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1588517999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE NUTRITION AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	3002 QUAIL SPRINGS RD APT E6
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-3703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3002 QUAIL SPRINGS RD APT E6
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-3703
Country	:	US
Telephone Number	:	520-906-7302
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALYSSA KRAUSHAR
Credential	:	RD
Telephone Number	:	520-906-7302

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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