Individual provider Active NPI

Michelle Nilan, CNS

  • Nutritionist
  • Las Vegas, NV
National Provider Identifier
1609542307
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
CNS18250
Practice address
995 Sierra Vista Dr Apt 207
Las Vegas, NV 89169-9344
Phone
(818) 983-4395
Fax
(818) 341-4836
NPI assigned
Aug 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X CNS18250 Primary

Addresses

Primary practice location

995 Sierra Vista Dr Apt 207
Las Vegas, NV 89169-9344

Mailing address

995 Sierra Vista Dr Apt 207
Las Vegas, NV 89169-9344
Phone (818) 983-4395

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
Credentials
Certified Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1609542307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 SIERRA VISTA DR APT 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891699344",
            "telephone_number": "818-983-4395",
            "fax_number": "818-341-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 SIERRA VISTA DR APT 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891699344",
            "telephone_number": "818-983-4395",
            "fax_number": "818-341-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILAN",
        "first_name": "MICHELLE",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": "CNS18250",
            "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 Aug 21, 2021; 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.