Active NPI
Angelica Karina Balistreri, RDN
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1205534906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 39876-DI-2
- Practice address
- 8250 N Grand Canyon Dr Unit 2155
Las Vegas, NV 89166-3735 - Phone
- (702) 858-0495
- NPI assigned
- Feb 21, 2023
- Last updated
- Jun 6, 2025
- 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 | 39876-DI-2 | NV | Primary |
Addresses
Primary practice location
8250 N Grand Canyon Dr Unit 2155
Las Vegas, NV 89166-3735
Mailing address
8250 N Grand Canyon Dr Unit 2155
Las Vegas, NV 89166-3735
Phone (702) 858-0495
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39876-DI-2 | NV | MD | Registered Dietitian |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1205534906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8250 N GRAND CANYON DR UNIT 2155",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891663735",
"telephone_number": "702-858-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8250 N GRAND CANYON DR UNIT 2155",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891663735",
"telephone_number": "702-858-0495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALISTRERI",
"first_name": "ANGELICA",
"middle_name": "KARINA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39876-DI-2",
"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 Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.