Active NPI
Cassie Montana Cebreros, RDN, LD
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1861157521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 39945-DI-2
- Practice address
- 2905 Lake East Dr Ste 110
Las Vegas, NV 89117-2384 - Phone
- (702) 742-2477
- NPI assigned
- Nov 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 39945-DI-2 | NV | Primary |
Addresses
Primary practice location
2905 Lake East Dr Ste 110
Las Vegas, NV 89117-2384
Mailing address
2905 Lake East Dr Ste 110
Las Vegas, NV 89117-2384
Phone (702) 742-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220210001594 | NV | Practitioner - Registered Dietitian Or Nutrition Professional | 2163815325 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39945-DI-2 | NV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kind Table Nutrition PLLC | Dietitian, Registered | Current | Accepting new patients |
Locations
2905 Lake East Dr
Ste 110
Las Vegas, NV 89117
Phone (725) 577-5055
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1861157521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 LAKE EAST DR STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172384",
"telephone_number": "702-742-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 LAKE EAST DR STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172384",
"telephone_number": "702-742-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEBREROS",
"first_name": "CASSIE",
"middle_name": "MONTANA",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-07",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39945-DI-2",
"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, 2025; 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.