Organization Active NPI

Mindfully Nourished Life

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1144925579
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MINDFULLY NOURISHED LIFE
Practice address
7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646
Phone
(702) 815-8111
Fax
(702) 441-1588
NPI assigned
Apr 4, 2023
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Irina G Todorova, RDNNPI 1275280083
Title
Registered Dietitian
Phone
(702) 372-8743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

7318 W Post Rd Ste 211
Las Vegas, NV 89113-6646

Mailing address

9626 Blyth Rock Ave
Las Vegas, NV 89147-7220
Phone (702) 372-8743

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1144925579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9626 BLYTH ROCK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477220",
            "telephone_number": "702-372-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7318 W POST RD STE 211",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891136646",
            "telephone_number": "702-815-8111",
            "fax_number": "702-441-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY NOURISHED LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "TODOROVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "702-372-8743",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "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 Apr 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.