Diabetic Life Academy, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2000394-810 Issued in NV

Legal business name

DIABETIC LIFE ACADEMY, LLC

Practice address

4270 S. Decatur Blvd.
Suite B-1B
Las Vegas, NV 89103-6800

Phone

(702) 880-9500

Fax

(702) 880-9507

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Brandy Lynn Mosley

Title

Office Manager/Compliance Officer

Phone

(702) 880-9500

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1861701062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 S. DECATUR BLVD.",
            "address_2": "SUITE B-1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891036800",
            "telephone_number": "702-880-9500",
            "fax_number": "702-880-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 S. DECATUR BLVD.",
            "address_2": "SUITE B-1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891036800",
            "telephone_number": "702-880-9500",
            "fax_number": "702-880-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC LIFE ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER/COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "702-880-9500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "2061-0219",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NV",
            "license": "2061-0219",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "2000394-810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Alisa Di Lauro, MD
• Veronica Di Pietro
• Nelida Susana Di Prospero de Barrientos
• Diabetes Health Centers Inc
• Diabetes Management Consultants LLC
• Diabetic Life Supply, LLC.
• Diabetic Relief Network
• Diabetic Supplies and More, Inc
• Fatoumata Diafoune
• Diagnostic Center of Medicine

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.