Individual provider Active NPI

Michelle Leanne Nieto, RD, LD

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1669956462
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
399442-DI-2 Issued in NV
Practice address
7670 W Lake Mead Blvd Ste 135
Las Vegas, NV 89128-6651
Phone
(725) 260-8605
Fax
(000) 000-0000
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 399442-DI-2 NV Primary

Addresses

Primary practice location

7670 W Lake Mead Blvd Ste 135
Las Vegas, NV 89128-6651

Mailing address

7670 W Lake Mead Blvd Ste 135
Las Vegas, NV 89128-6651
Phone (725) 260-8605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116002306 NV Practitioner - Registered Dietitian Or Nutrition Professional 5597019158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nutrition Aligned LLCGroup PAC ID 6709256118, 2 clinicians

Practice addresses (Care Compare)

7251 W Lake Mead Blvd
Suite 300
Las Vegas, NV 89128-8380
Phone (725) 260-8605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
399442-DI-2NVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Aligned LLC Dietitian, Registered CurrentSince Aug 15, 2022 Accepting new patients

Locations

10601 N Hayden Rd
Ste 108
Scottsdale, AZ 85260
Phone (480) 256-9666

7251 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Phone (702) 562-4096

7670 W Lake Mead Blvd
Ste 135
Las Vegas, NV 89128
Phone (702) 930-2009

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1669956462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7670 W LAKE MEAD BLVD STE 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286651",
            "telephone_number": "725-260-8605",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7670 W LAKE MEAD BLVD STE 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286651",
            "telephone_number": "725-260-8605",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "MICHELLE",
        "middle_name": "LEANNE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "399442-DI-2",
            "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 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.