Healthcare Provider Details

I. General information

NPI: 1932053014
Provider Name (Legal Business Name): ELEVATE DIETETICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 RIDGE VIEW WAY
SPRINGVILLE AL
35146-7520
US

IV. Provider business mailing address

80 RIDGE VIEW WAY
SPRINGVILLE AL
35146-7520
US

V. Phone/Fax

Practice location:
  • Phone: 205-563-4288
  • Fax:
Mailing address:
  • Phone: 205-563-4288
  • Fax: 205-563-4288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: LEIGH ANN PRITCHETT
Title or Position: REGISTERED DIETITIAN
Credential: MS, RDN, LD
Phone: 205-563-4288