Mindshift Nutrition & Wellness, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MINDSHIFT NUTRITION & WELLNESS, LLC

Doing business as

Mindshift Nutrition & Wellness

Practice address

7251 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-8380

Phone

(725) 301-0959

Fax

(702) 941-9075

NPI assigned

May 1, 2023

Last updated

Jun 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Dawn MillerNPI 1265995054

Title

Dietitian and Owner

Phone

(725) 301-0959

Specialties & licenses 1

Addresses

Other names 1

• Mindshift Nutrition & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Dawn Miller, RD, LD

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1265995054

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1255020889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 STRATFORD HALL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352140",
            "telephone_number": "702-817-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W LAKE MEAD BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288380",
            "telephone_number": "725-301-0959",
            "fax_number": "702-941-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSHIFT NUTRITION & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DIETITIAN AND OWNER",
        "authorized_official_telephone_number": "725-301-0959"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindshift Nutrition & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindshift Nutrition & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.