Active NPI
Kelly Clair Lord, RD
- Registered Dietitian
- North Las Vegas, NV
National Provider Identifier
1558496901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 961684
- Practice address
- 6900 North Pecos Dr
North Las Vegas, NV 89086 - Phone
- (702) 791-9000
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 961684 | NY | Primary |
Addresses
Primary practice location
6900 North Pecos Dr
North Las Vegas, NV 89086
Mailing address
117 Trumphet Lilly Ave
Las Vegas, NV 89183-5574
Phone (607) 743-1186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 961684 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1558496901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 TRUMPHET LILLY AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891835574",
"telephone_number": "607-743-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 NORTH PECOS DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89086",
"telephone_number": "702-791-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "KELLY",
"middle_name": "CLAIR",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "961684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.