Active NPI
Joselin Estrada Sandoval, RD, LD
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1639922610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 40879-DI-0
- Practice address
- 1090 E Desert Inn Rd
Las Vegas, NV 89109-2824 - Phone
- (702) 489-3434
- Fax
- (702) 489-3600
- NPI assigned
- Apr 9, 2024
- 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 | 40879-DI-0 | NV | Primary |
Addresses
Primary practice location
1090 E Desert Inn Rd
Las Vegas, NV 89109-2824
Mailing address
4126 Yakima Ave
Las Vegas, NV 89121-6105
Phone (702) 806-9117
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1639922610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 YAKIMA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891216105",
"telephone_number": "702-806-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 E DESERT INN RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092824",
"telephone_number": "702-489-3434",
"fax_number": "702-489-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA SANDOVAL",
"first_name": "JOSELIN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "40879-DI-0",
"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 Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.