Active NPI
Renee Stark
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1326584632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86020783
- Practice address
- 9131 Placer Bullion Ave
Las Vegas, NV 89178-6200 - Phone
- (909) 618-7393
- NPI assigned
- Jan 10, 2017
- Last updated
- Dec 16, 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 | 86020783 | NV | Primary |
Addresses
Primary practice location
9131 Placer Bullion Ave
Las Vegas, NV 89178-6200
Mailing address
9131 Placer Bullion Ave
Las Vegas, NV 89178-6200
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 |
|---|---|---|---|
| 86020783 | NV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1326584632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9131 PLACER BULLION AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891786200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9131 PLACER BULLION AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891786200",
"telephone_number": "909-618-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "86020783",
"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 Dec 16, 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.