Organization Active NPI

Synergy Nutrition LLC

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1538628672
Registry record updated Oct 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SYNERGY NUTRITION LLC
Practice address
3651 Lindell Rd Ste D263
Las Vegas, NV 89103-1254
Phone
(702) 849-0480
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2019

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

Authorized official

Name
Hailee Brill, RDNNPI 1356811517
Title
Owner
Phone
(920) 946-8106

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 DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3651 Lindell Rd Ste D263
Las Vegas, NV 89103-1254

Mailing address

9492 Cantata Crest CT
Las Vegas, NV 89178-3203
Phone (920) 946-8106

National Provider Directory

National Provider Directory

Locations

3651 Lindell Rd
Ste D263
Las Vegas, NV 89103
Phone (702) 849-0480

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": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572134400000",
    "number": "1538628672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9492 CANTATA CREST CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891783203",
            "telephone_number": "920-946-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 LINDELL RD STE D263",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031254",
            "telephone_number": "702-849-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-10-27",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "HAILEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-946-8106",
        "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": []
}

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 Oct 27, 2019; 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.