Active NPI
Melody A Vicari-Warner, R.D.
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1609209535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1042066
- Practice address
- 3100 N Tenaya Way
Las Vegas, NV 89128-0436 - Phone
- (702) 255-5000
- NPI assigned
- Aug 14, 2013
- 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 | 1042066 | NV | Primary |
Addresses
Primary practice location
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Mailing address
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042066 | Other | CO | REGISTRATION NUMBER THROUGH THE COMMISSION ON DIETETIC REGISTRATION |
Other names 1
- Melody A. Vicari
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 |
|---|---|---|---|
| 1042066 | NV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1609209535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280436",
"telephone_number": "702-255-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICARI-WARNER",
"first_name": "MELODY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "1042066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRATION NUMBER THROUGH THE COMMISSION ON DIETETIC REGISTRATION",
"identifier": "1042066",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELODY",
"last_name": "VICARI",
"middle_name": "A.",
"credential": "R.D",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.