Individual provider Active NPI

Jaleesah N Ayala-Sanchez

  • Nutritionist
  • North Las Vegas, NV
National Provider Identifier
1679163968
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
1215 Heather Oaks Way
North Las Vegas, NV 89031-1507
Phone
(702) 354-0144
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 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 Primary

Addresses

Primary practice location

1215 Heather Oaks Way
North Las Vegas, NV 89031-1507

Mailing address

1215 Heather Oaks Way
North Las Vegas, NV 89031-1507
Phone (702) 354-0143

Other names 1

  • Lisa Sanchez Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1679163968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HEATHER OAKS WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311507",
            "telephone_number": "702-354-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HEATHER OAKS WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311507",
            "telephone_number": "702-354-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA-SANCHEZ",
        "first_name": "JALEESAH",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SANCHEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North 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 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.