Active NPI
Mariah M Burdno, RD, LD
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1669159604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 40260-DI-0
- Practice address
- 5466 Scotch Cap Dr
Las Vegas, NV 89122-7758 - Phone
- (505) 803-1571
- NPI assigned
- Jun 30, 2023
- 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 | 40260-DI-0 | NV | Primary |
Addresses
Primary practice location
5466 Scotch Cap Dr
Las Vegas, NV 89122-7758
Mailing address
5466 Scotch Cap Dr
Las Vegas, NV 89122-7758
Phone (505) 803-1571
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 |
|---|---|---|---|
| 40260-DI-0 | NV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1669159604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5466 SCOTCH CAP DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891227758",
"telephone_number": "505-803-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5466 SCOTCH CAP DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891227758",
"telephone_number": "505-803-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDNO",
"first_name": "MARIAH",
"middle_name": "M",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "40260-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 Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.