Active NPI
Mandie Matheson, RDN,LD
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1568314680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 32409-DI-6
- Practice address
- 1279 Paiute Circle
Las Vegas, NV 89106 - Phone
- (702) 382-0784
- NPI assigned
- Feb 11, 2026
- Last updated
- Feb 11, 2026
- 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 | 32409-DI-6 | NV | Primary |
Addresses
Primary practice location
1279 Paiute Circle
Las Vegas, NV 89106
Mailing address
PO Box 1158
Logandale, NV 89021-1158
Phone (702) 371-6129
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 |
|---|---|---|---|
| 32409-DI-6 | NV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1568314680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1158",
"city": "LOGANDALE",
"state": "NV",
"postal_code": "890211158",
"telephone_number": "702-371-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 PAIUTE CIRCLE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-382-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHESON",
"first_name": "MANDIE",
"credential": "RDN,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-11",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "32409-DI-6",
"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 Feb 11, 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.