Nature & Nurture Nutrition Therapy

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NATURE & NURTURE NUTRITION THERAPY

Practice address

2109 Lone Desert St
Las Vegas, NV 89135-1117

Phone

(877) 811-1178

Fax

(877) 811-1178

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Christine Storck-Petersen, MPH, MS, RD/LD, CEDSNPI 1346623634

Title

Owner

Phone

(877) 811-1178

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Christine Storck-Petersen, MPH, MS, RD/LD, CEDS

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1346623634

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1447072186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 LONE DESERT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351117",
            "telephone_number": "877-811-1178",
            "fax_number": "877-811-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 LONE DESERT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351117",
            "telephone_number": "877-811-1178",
            "fax_number": "877-811-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURE & NURTURE NUTRITION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "STORCK-PETERSEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-811-1178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH, MS, RD/LD, CEDS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1346623634",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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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 Oct 24, 2024; 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.