Organization Active NPI

Kind Table Nutrition PLLC

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1437015260
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KIND TABLE NUTRITION PLLC
Practice address
2905 Lake East Dr Ste 110
Las Vegas, NV 89117-2384
Phone
(702) 742-2477
NPI assigned
Dec 24, 2025
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Cassie Montana Cebreros, RDN, LDNPI 1861157521
Title
Managing Member
Phone
(702) 742-2477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2905 Lake East Dr Ste 110
Las Vegas, NV 89117-2384

Mailing address

2905 Lake East Dr Ste 110
Las Vegas, NV 89117-2384
Phone (702) 742-2477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1437015260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 LAKE EAST DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172384",
            "telephone_number": "702-742-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 LAKE EAST DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172384",
            "telephone_number": "702-742-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND TABLE NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-24",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "CEBREROS",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "MONTANA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-742-2477",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.