Silver State Nutrition LLP

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SILVER STATE NUTRITION LLP

Practice address

141 Plantation Dr
Carson City, NV 89703-5411

Phone

(775) 888-9510

NPI assigned

Jan 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jodi Ann Pettersen, R.D.NPI 1598818619

Title

Registered Dietitian

Phone

(775) 888-9510

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodi A Pettersen, R.D.

  • Registered Dietitian
  • Carson City, NV
  • NPI 1598818619

  Dietitian, Registered

  NPD (past) Authorized official
• Christina L Hess, REGISTERED DIETITIAN

  • Registered Dietitian
  • Virginia City, NV
  • NPI 1811041635

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003960550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PLANTATION DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035411",
            "telephone_number": "775-888-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PLANTATION DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035411",
            "telephone_number": "775-888-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE NUTRITION LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETTERSEN",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "775-888-9510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Simmons, LDO
• Theresa L Simmons
• Victoria Simmons, MFT
• Kerry Simons
• Mary Florence Sims, LCSW

• Registered Dietitian in Carson City, NV
• Providers in Carson City, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.