NPIMap

Organization Active NPI

Berry Nutritious

  • Registered Dietitian
  • North Las Vegas, NV
National Provider Identifier
1184066748
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
33016DI-0 Issued in NV
Legal business name
BERRY NUTRITIOUS
Practice address
3825 Craig Crossing Dr
2048
North Las Vegas, NV 89032-1254
Phone
(773) 301-7397
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Natalie Lewis, R.D, L.DNPI 1982955753
Title
Director
Phone
(773) 301-7397

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 33016DI-0 NV Primary

Addresses

Primary practice location

3825 Craig Crossing Dr
2048
North Las Vegas, NV 89032-1254

Mailing address

3825 Craig Crossing Dr
2048
North Las Vegas, NV 89032-1254

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.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1184066748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 CRAIG CROSSING DR",
            "address_2": "2048",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 CRAIG CROSSING DR",
            "address_2": "2048",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321254",
            "telephone_number": "773-301-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY NUTRITIOUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-301-7397",
        "authorized_official_credential": "R.D, L.D"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "33016DI-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.