Individual provider Active NPI

Jennifer Cuozzo, RDN, LD

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1033729793
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
39578-DI-0 Issued in NV
Practice address
8275 S Eastern Ave Ste 200
Las Vegas, NV 89123-2545
Phone
(702) 427-3874
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 39578-DI-0 NV Primary

Addresses

Primary practice location

8275 S Eastern Ave Ste 200
Las Vegas, NV 89123-2545

Mailing address

6005 Bassio Ave
Las Vegas, NV 89141-0445
Phone (702) 427-3874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39578-DI-0NVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Performance, LLC Dietitian, Registered CurrentSince Aug 9, 2020 Accepting new patients

Locations

8275 S Eastern Ave
Ste 200
Las Vegas, NV 89123
Phone (702) 302-4435

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1033729793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 BASSIO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891410445",
            "telephone_number": "702-427-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 S EASTERN AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232545",
            "telephone_number": "702-427-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUOZZO",
        "first_name": "JENNIFER",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "39578-DI-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.