Joey Lyn Sjostrom, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

844423 Issued in CA

Practice address

8275 S Eastern Ave
Suite #118
Las Vegas, NV 89123-2591

Phone

(702) 878-5639

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nutrition by Joey, LLC

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1740518638

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Anders and Dunaway Nutrition Consultants, Inc.

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1962445619

  Dietitian, Registered

  NPD (past)
• Allara Medical Group PA

  • Gynecology Physician
  • New York, NY
  • NPI 1700450558
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1396889507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10961 SHALLOW WATER CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890528721",
            "telephone_number": "702-878-5639",
            "fax_number": "480-247-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 S EASTERN AVE",
            "address_2": "SUITE #118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232591",
            "telephone_number": "702-878-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOSTROM",
        "first_name": "JOEY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "844423",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "38696DI-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virgilio Siu, PAC
• Anberlin Sivilay
• Jodi Siwulec
• Emma C Siy, LBA, BCBA
• Sizewise Rentals LLC
• SK Nguyen PLLC
• Zachary David Skaggs
• Alicia Skalecki
• Alyson Alicia Skalecki
• Amber Skalecki

• 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 Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.