Organization Active NPI

Whole Nutrition Lifestyles, LLC

  • Sports Dietetics Nutrition Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1194405365
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
Legal business name
WHOLE NUTRITION LIFESTYLES, LLC
Practice address
10161 Park Run Dr Ste 150
Las Vegas, NV 89145-8872
Phone
(702) 423-8198
Fax
(877) 408-1934
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Lisa Marie Contreras, RDNNPI 1902255961
Title
Owner
Phone
(702) 423-8198

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
Sports Dietetics Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1501X 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

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": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1194405365",
    "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"
        },
        {
            "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": "702-423-8198",
            "fax_number": "877-408-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE NUTRITION LIFESTYLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-423-8198",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "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 Aug 28, 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.