Thomas James Hellyer Jr., MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

10120 S Eastern Ave Ste 115
Henderson, NV 89052-3952

Phone

(725) 529-7989

Fax

(702) 920-9966

NPI assigned

Oct 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, TX2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1730655903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778427",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890778427",
            "telephone_number": "725-529-7989",
            "fax_number": "702-920-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE STE 115",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523952",
            "telephone_number": "725-529-7989",
            "fax_number": "702-920-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 N Town Center Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891440503",
            "country_code": "US",
            "telephone_number": "725-529-7989",
            "fax_number": "702-920-9966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S. Hwy 160 Ste. 102",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "89048",
            "country_code": "US",
            "telephone_number": "725-529-7989",
            "fax_number": "702-920-9966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 Ramar Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427100",
            "country_code": "US",
            "telephone_number": "725-529-7989",
            "fax_number": "702-920-9966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLYER",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730655903",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.