Individual provider Active NPI

Macy Vezina, RD, LD

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1760144919
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
39611-DI-1 Issued in NV
Practice address
3365 E Flamingo Rd Ste 9
Las Vegas, NV 89121-7440
Phone
(310) 922-0270
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 39611-DI-1 NV Primary

Addresses

Primary practice location

3365 E Flamingo Rd Ste 9
Las Vegas, NV 89121-7440

Mailing address

5405 Rusty Anchor CT
Las Vegas, NV 89130-1547
Phone (310) 922-0270

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
39611-DI-1NVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nevada Bariatrics Mustafa Ahmed MD Facs PLLC PastSince Oct 10, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16797/brand/1/csg/1/fhir/r4

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1760144919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 RUSTY ANCHOR CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301547",
            "telephone_number": "310-922-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 E FLAMINGO RD STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217440",
            "telephone_number": "310-922-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEZINA",
        "first_name": "MACY",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "39611-DI-1",
            "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 Oct 5, 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.