Active NPI
My Nutrition My Life LLC
- Registered Dietitian
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NV20101799454
- Legal business name
- MY NUTRITION MY LIFE LLC
- Practice address
- 170 S Green Valley Pkwy FL 3
Henderson, NV 89012-3132 - Phone
- (702) 606-3106
- Fax
- (702) 534-4003
- NPI assigned
- Nov 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kamalini Mukerjee, RD
- Title
- Owner
- Phone
- (702) 606-3106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NV20101799454 | NV | Primary |
Addresses
Primary practice location
170 S Green Valley Pkwy FL 3
Henderson, NV 89012-3132
Mailing address
170 S Green Valley Pkwy FL 3
Henderson, NV 89012-3132
Phone (702) 606-3106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
170 S Green Valley Pkwy
#3
Henderson, NV 89012
170 S Green Valley Pkwy
Fl 3
Henderson, NV 89012
Phone (702) 606-3106
170 S Green Valley Pkwy
Ste 325
Henderson, NV 89012
170 S Green Valley Pkwy
#325
Henderson, NV 89012
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1083916399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 S GREEN VALLEY PKWY FL 3",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123132",
"telephone_number": "702-606-3106",
"fax_number": "702-534-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 S GREEN VALLEY PKWY FL 3",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123132",
"telephone_number": "702-606-3106",
"fax_number": "702-534-4003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY NUTRITION MY LIFE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MUKERJEE",
"authorized_official_first_name": "KAMALINI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-606-3106",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "NV20101799454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.