Cultivate Wellness Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CULTIVATE WELLNESS NUTRITION LLC

Practice address

3113 Villa Colonade Drive
Las Vegas, NV 89128

Phone

(702) 623-2263

NPI assigned

Mar 5, 2026

Organization subpart

No

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

Authorized official

Name

Jenny Y Lai, RDNNPI 1285044248

Title

Managing Member

Phone

(323) 333-1818

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jenny Y Lai, R.D.

  • Registered Dietitian
  • Sierra Madre, CA
  • NPI 1285044248

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1497601298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 2851",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 VILLA COLONADE DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-623-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE WELLNESS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "323-333-1818",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Culpepper-Peters
• Carl Culpepper
• Dermetric Leray Culpepper Sr.
• Yolanda Culpepper
• Amy Kathleen Culpert, OTR
• Cultivating Communities Together Health Centers
• Cultivating Connected Living, LLC
• Cultural Arts Training Foundation
• Joanne T Culver, LCADC
• Mashia Culver

• 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 Mar 5, 2026; 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.