Individual provider Active NPI

Marissa Reshma Shahani, MS, RD, LD

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1801654355
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
7251 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-8380
Phone
(725) 260-8605
Fax
(702) 472-8604
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 Primary

Addresses

Primary practice location

7251 W Lake Mead Blvd Ste 300
Las Vegas, NV 89128-8380

Mailing address

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

Other names 1

  • Marissa Reshma Woytowitz Former 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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1801654355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 W LAKE MEAD BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288380",
            "telephone_number": "725-260-8605",
            "fax_number": "702-472-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W LAKE MEAD BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288380",
            "telephone_number": "725-260-8605",
            "fax_number": "702-472-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHANI",
        "first_name": "MARISSA",
        "middle_name": "RESHMA",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "WOYTOWITZ",
            "middle_name": "RESHMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 11, 2024; 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.