NPIMap

Organization Active NPI

Whole Nutrition Lifestyles, LLC

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1104530146
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WHOLE NUTRITION LIFESTYLES, LLC
Practice address
10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872
Phone
(702) 515-7400
NPI assigned
Jan 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Lisa Marie Contreras, RDN
Title
Registered Dietitian Nutritionist
Phone
(702) 515-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872

Mailing address

10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872
Phone (702) 515-7400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1104530146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10161 PARK RUN DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458872",
            "telephone_number": "702-515-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10161 PARK RUN DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458872",
            "telephone_number": "702-515-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE NUTRITION LIFESTYLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "702-515-7400",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Oct 20, 2023; 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.