Active NPI
Serena Marie Berman
- Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1881203552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308 - Phone
- (702) 830-9685
- Fax
- (702) 623-0224
- NPI assigned
- Jul 28, 2020
- Last updated
- Oct 2, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 39805-DI-1 | NV | |
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
1180 N Town Center Dr Ste 100
Las Vegas, NV 89144-6308
Mailing address
3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973
Phone (702) 780-2315
Other practice location 1
1707 W Charleston Blvd Ste 290
Las Vegas, NV 89102-2353
Phone (702) 671-6469
Other practice location 2
1810 E Sahara Ave Ste 122
Las Vegas, NV 89104-3707
Phone (775) 777-6232
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | serena@yourdietitianlv.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39805-DI-1 | NV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1881203552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 W CHARLESTON BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021973",
"telephone_number": "702-780-2315",
"fax_number": "702-895-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 N TOWN CENTER DR STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446308",
"telephone_number": "702-830-9685",
"fax_number": "702-623-0224"
}
],
"practiceLocations": [
{
"address_1": "1707 W Charleston Blvd Ste 290",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891022353",
"country_code": "US",
"telephone_number": "702-671-6469",
"fax_number": "702-671-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1810 E Sahara Ave Ste 122",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891043707",
"country_code": "US",
"telephone_number": "775-777-6232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMAN",
"first_name": "SERENA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-28",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39805-DI-1",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "serena@yourdietitianlv.com",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1810 E Sahara Ave Ste 122",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891043707",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.