Active NPI
Mindfully Nourished Life
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1144925579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2023
- 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
- Irina G Todorova, RDN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Registered Dietitian
- Las Vegas, NV
- NPI 1275280083
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
- Mindful Moments Behavioral Center LLC (Always Reach Out Behavioral Health LLC)
- Mindful of Las Vegas LLC (Mindful)
- Mindful Solutions
- Mindful Utopia LLC
- Mindfully Align Physio, PLLC
- Mindfulness Counseling Center, LLC
- Mindfulness Integrated Healthcare Odiwo PLLC
- Minds Heal LLC
- Minds Matter LV, LLC
- Minds Over Matter
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.