Organization Active NPI

Your Dietitian for Diabetes & Weight Control, LLC

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1205016888
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
YOUR DIETITIAN FOR DIABETES & WEIGHT CONTROL, LLC
Practice address
7656 W Sahara Ave Ste 110
Las Vegas, NV 89117-2773
Phone
(702) 525-1105
Fax
(702) 666-8555
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Ms. Angie Dione Lopez, RD, CDE
Title
Owner
Phone
(702) 525-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

7656 W Sahara Ave Ste 110
Las Vegas, NV 89117-2773

Mailing address

11641 Redwood Mountain Ave
Las Vegas, NV 89138-6283
Phone (702) 525-7703

Other practice location 1

1053 Puerta Del Sol Dr
Las Vegas, NV 89138-6059
Phone (702) 525-7703

Other practice location 2

170 S Green Valley Pkwy Ste 300
Henderson, NV 89012-3145
Phone (702) 525-1105

Other practice location 3

1810 E Sahara Ave
Las Vegas, NV 89104-3707
Phone (702) 525-1105

National Provider Directory

National Provider Directory

Locations

7656 W Sahara Ave
Ste 110
Las Vegas, NV 89117
Phone (702) 525-1105

1810 E Sahara Ave
Las Vegas, NV 89104
Phone (702) 886-0961

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1205016888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11641 REDWOOD MOUNTAIN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386283",
            "telephone_number": "702-525-7703",
            "fax_number": "702-666-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 W SAHARA AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172773",
            "telephone_number": "702-525-1105",
            "fax_number": "702-666-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 Puerta Del Sol Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891386059",
            "country_code": "US",
            "telephone_number": "702-525-7703",
            "fax_number": "702-666-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 S Green Valley Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890123145",
            "country_code": "US",
            "telephone_number": "702-525-1105",
            "fax_number": "702-666-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 E Sahara Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891043707",
            "country_code": "US",
            "telephone_number": "702-525-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR DIETITIAN FOR DIABETES & WEIGHT CONTROL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "DIONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-525-7703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "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 Apr 9, 2021; 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.