Food Connection LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

NV20131346778 Issued in NV

Legal business name

FOOD CONNECTION LLC

Practice address

3425 Cliff Shadows Pkwy Ste 130
Las Vegas, NV 89129-5113

Phone

(702) 664-1204

Fax

(702) 537-7114

NPI assigned

Jul 18, 2013

Last updated

Jun 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Mazurowski, MS,RDN,LD,LPTA,CLTNPI 1639511652

Title

Owner/Managing Member

Phone

(702) 580-9742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Mazurowski, MS,RDN,LD,LPTA

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1639511652

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• William Allen, PT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1699913384
  NPD (past)
• Christopher Ancell, DPT

  • Physical Therapist
  • Henderson, NV
  • NPI 1801265780
  NPD (past)
• Tessa Marie Campbell, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1124442710
  NPD (past)
• Karrie McDonough, DPT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1194000596
  NPD (past)
• Derek D. Ronnebaum

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1245670975
  NPD (past)
• Alexis Young, PT, DPT, CLT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1376325027

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780704000000",
    "number": "1841632866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 CLIFF SHADOWS PKWY STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295113",
            "telephone_number": "702-580-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 CLIFF SHADOWS PKWY STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295113",
            "telephone_number": "702-664-1204",
            "fax_number": "702-537-7114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 S Grand Canyon Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891477172",
            "country_code": "US",
            "telephone_number": "702-664-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOD CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "MAZUROWSKI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "702-580-9742",
        "authorized_official_credential": "MS,RDN,LD,LPTA,CLT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "NV20131346778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Fontillas
• Alejandro Fonts-Alvarez
• Samantha Fonua, RN
• Tefini Luani Fonua
• Michelle Foo, FNP-C
• Food4Less of Southern California Inc (Food4Less Pharmacy)
• Foord Asset Management NV PLLC
• Aimee Malesky Foord, DO
• Dylan Richard Foord, D.O.
• Foot and Ankle Specialist

• Registered Dietitian in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.