Active NPI
Jamie Pryor, MS, RDN, LD
- Registered Dietitian
- North Las Vegas, NV
National Provider Identifier
1265142210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 40042-DI-0
- Practice address
- 6930 Boulder View St
North Las Vegas, NV 89084-2093 - Phone
- (702) 935-7175
- NPI assigned
- Nov 30, 2022
- Last updated
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 40042-DI-0 | NV | Primary |
Addresses
Primary practice location
6930 Boulder View St
North Las Vegas, NV 89084-2093
Mailing address
6930 Boulder View St
North Las Vegas, NV 89084-2093
Phone (702) 935-7175
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
- Credentials
- Master of Science
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": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1265142210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6930 BOULDER VIEW ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890842093",
"telephone_number": "702-935-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 BOULDER VIEW ST",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890842093",
"telephone_number": "702-935-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "JAMIE",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "40042-DI-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.