Active NPI
Body Grace Medical Nutrition Therapy
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1477448603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- BODY GRACE MEDICAL NUTRITION THERAPY
- Practice address
- 732 S 6TH St # 4612
Las Vegas, NV 89101-6948 - Phone
- (702) 371-5719
- NPI assigned
- Jun 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Brenna Schrader, RDN, LD
- Title
- Manager/Owener
- Phone
- (702) 371-5719
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
732 S 6TH St # 4612
Las Vegas, NV 89101-6948
Mailing address
10620 Southern Highlands Pkwy Ste 110-423
Las Vegas, NV 89141-4371
Phone (702) 371-5719
Other names 1
- Body Grace MNT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10620 Southern Highlands Pkwy
Ste 110423
Las Vegas, NV 89141
732 S 6th St
#4612
Las Vegas, NV 89101
Phone (702) 371-5719
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1477448603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10620 SOUTHERN HIGHLANDS PKWY STE 110-423",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414371",
"telephone_number": "702-371-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 S 6TH ST # 4612",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016948",
"telephone_number": "702-371-5719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY GRACE MEDICAL NUTRITION THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-10",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "SCHRADER",
"authorized_official_first_name": "BRENNA",
"authorized_official_title_or_position": "MANAGER/OWENER",
"authorized_official_telephone_number": "702-371-5719",
"authorized_official_name_prefix": "Ms.",
"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": [
{
"organization_name": "Body Grace MNT",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.