Active NPI
Karol Lizeth Mapula
- Registered Dietitian
- Henderson, NV
National Provider Identifier
1154948123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1020 S Boulder Hwy
Henderson, NV 89015-8533 - Phone
- (702) 791-9030
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1020 S Boulder Hwy
Henderson, NV 89015-8533
Mailing address
10369 Baby Bud St
Las Vegas, NV 89183-4294
Phone (702) 619-2113
Other practice location 1
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000 ext. 18996
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1154948123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10369 BABY BUD ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834294",
"telephone_number": "702-619-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S BOULDER HWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890158533",
"telephone_number": "702-791-9030"
}
],
"practiceLocations": [
{
"address_1": "6900 N Pecos Rd",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890864400",
"country_code": "US",
"telephone_number": "702-791-9000 x18996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAPULA",
"first_name": "KAROL",
"middle_name": "LIZETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-25",
"last_updated": "2024-07-15",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.