Healthcare Provider Details

I. General information

NPI: 1518896752
Provider Name (Legal Business Name): ALLISON RUNDQUIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 S ST NE UNIT 4
WASHINGTON DC
20002-1666
US

IV. Provider business mailing address

233 S ST NE UNIT 4
WASHINGTON DC
20002-1666
US

V. Phone/Fax

Practice location:
  • Phone: 864-909-6988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI200001332
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: