Active NPI
Synergy Nutrition LLC
- Registered Dietitian
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hailee Brill, RDN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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 DirectoryLocations
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.
-
- Registered Dietitian
- Las Vegas, NV
- NPI 1356811517
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.