Active NPI
Mariah Altman, RD
- Registered Dietitian
- Elko, NV
National Provider Identifier
1194405563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 40137-DI-0
- Practice address
- 2001 Errecart Blvd
Elko, NV 89801-8333 - Phone
- (775) 748-2094
- Fax
- (775) 748-2096
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40137-DI-0 | NV | MD | Registered Dietitian |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 40137-DI-0 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2001 Errecart Blvd
Elko, NV 89801-8333
Mailing address
3517 Autumn Colors Dr
Elko, NV 89801-7800
Phone (775) 340-8841
Other names 1
NPPES NPI Registry- Mariah Eckley
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2023.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1194405563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 AUTUMN COLORS DR",
"city": "ELKO",
"state": "NV",
"postal_code": "898017800",
"telephone_number": "775-340-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 ERRECART BLVD",
"city": "ELKO",
"state": "NV",
"postal_code": "898018333",
"telephone_number": "775-748-2094",
"fax_number": "775-748-2096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTMAN",
"first_name": "MARIAH",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "40137-DI-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAH",
"last_name": "ECKLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.