Organization Active NPI

Roxana Ehsani

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1821636283
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ROXANA EHSANI
Practice address
1350 Spruce Park Dr Ste 313
Las Vegas, NV 89135-1468
Phone
(703) 674-8068
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Roxana Ehsani
Title
Rd
Phone
(703) 674-8068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1350 Spruce Park Dr Ste 313
Las Vegas, NV 89135-1468

Mailing address

1350 Spruce Park Dr Ste 313
Las Vegas, NV 89135-1468
Phone (703) 674-8068

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1821636283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SPRUCE PARK DR STE 313",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351468",
            "telephone_number": "703-674-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SPRUCE PARK DR STE 313",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351468",
            "telephone_number": "703-674-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANA EHSANI",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "EHSANI",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "703-674-8068"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Dec 17, 2019; 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.