Individual provider Active NPI

Peter Diprete II, RD, RDN, LD

  • Registered Dietitian
  • Henderson, NV
National Provider Identifier
1447792601
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86055586 Issued in NV
Practice address
816 Grape Vine Ave
Henderson, NV 89002-9547
Phone
(415) 827-3576
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86055586 NV Primary
Registered Dietitian 133V00000X 39022-DI-0 NV

Addresses

Primary practice location

816 Grape Vine Ave
Henderson, NV 89002-9547

Mailing address

816 Grape Vine Ave
Henderson, NV 89002-9547
Phone (415) 827-3576

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39022-DI-0NVMDRegistered Dietitian
86055586NVMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1447792601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 GRAPE VINE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029547",
            "telephone_number": "415-827-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 GRAPE VINE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029547",
            "telephone_number": "415-827-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPRETE",
        "first_name": "PETER",
        "name_suffix": "II",
        "credential": "RD, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "86055586",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "39022-DI-0",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.