Laura Ann Deverse, R.D.

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

816922 Issued in NV

Practice address

1600 Medical Pkwy
Nutritional Services
Carson City, NV 89703-4625

Phone

(775) 445-8035

Fax

(775) 888-3220

NPI assigned

Dec 12, 2007

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CTH Physicians Clinic

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1306533732
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1700069788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022168",
            "telephone_number": "775-445-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "address_2": "NUTRITIONAL SERVICES",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625",
            "telephone_number": "775-445-8035",
            "fax_number": "775-888-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERSE",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NV",
            "license": "816922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Deselle, O.D.
• Desert Bloom Pediatrics
• Desert Sage Medical
• Desert Valley Family Practice
• Rachael Desmidt
• Mithun Gopal Devraj, M.D
• Kathleen Dewinter
• Charles Di Leonardo, MSPAS, PA-C
• Breanna D Di Pinto, APRN
• Diagnostic Pathology Medical Group, Inc.

• Metabolic Nutrition Registered Dietitian in Carson City, NV
• Providers in Carson City, NV by specialty
• Metabolic Nutrition Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.