Organization Active NPI

Medical Dietitian Consultants LLC

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1457896524
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
955153 Issued in NV
Legal business name
MEDICAL DIETITIAN CONSULTANTS LLC
Practice address
158 Crooked Putter Dr
Las Vegas, NV 89148-5227
Phone
(702) 622-5254
Fax
(702) 446-8343
NPI assigned
Dec 28, 2016
Last updated
Mar 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Julie Bernstein, RDNPI 1295029080
Title
Owner
Phone
(702) 533-2239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 955153 NV Primary

Addresses

Primary practice location

158 Crooked Putter Dr
Las Vegas, NV 89148-5227

Mailing address

158 Crooked Putter Dr
Las Vegas, NV 89148-5227
Phone (702) 622-5254

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": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1457896524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CROOKED PUTTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485227",
            "telephone_number": "702-622-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CROOKED PUTTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485227",
            "telephone_number": "702-622-5254",
            "fax_number": "702-446-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIETITIAN CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-533-2239",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "955153",
            "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 Mar 31, 2017; 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.