Nutrition 4 Body and Mind LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION 4 BODY AND MIND LLC

Practice address

6671 S. Las Vegas Blvd.
BLDG. D, Suite 210
Las Vegas, NV 89119-3273

Phone

(702) 812-8380

NPI assigned

May 21, 2020

Last updated

May 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daphnne Balizan

Title

Owner

Phone

(702) 812-8380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1497378723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 BAYSTONE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891418690",
            "telephone_number": "702-812-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 S. LAS VEGAS BLVD.",
            "address_2": "BLDG. D, SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193273",
            "telephone_number": "702-812-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION 4 BODY AND MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "BALIZAN",
        "authorized_official_first_name": "DAPHNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-812-8380"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurturing Care PC Inc
• Nurturing Nest, LLC
• Nurturing Words Speech Therapy LLC
• Nuskin Biologics LLC
• Jaquitta Nutall
• Nutrition Aligned LLC
• Nutrition by Joey, LLC
• Lasheika Nutt-Dennis
• Tito Nutterfield
• Amber Nicole Nutting

• 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 May 26, 2020; 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.