Macy Vezina Rd LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MACY VEZINA RD LLC

Practice address

3365 E Flamingo Rd Ste 9
Las Vegas, NV 89121-7440

Phone

(310) 922-0270

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Macy Vezina

Title

Owner

Phone

(310) 922-0270

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mustafa I Ahmed, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1841239118
  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1881359404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 RUSTY ANCHOR CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301547",
            "telephone_number": "310-922-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 E FLAMINGO RD STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217440",
            "telephone_number": "310-922-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACY VEZINA RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "VEZINA",
        "authorized_official_first_name": "MACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-922-0270"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Draketonial Macon
• Joshua Macon, M.D.
• J'Aime Nicole Macpherson
• Amanda Macri
• Michael Lim Macrohon
• Isabel Madajski
• Michael T Madajski
• Haley Jo Ternora Madamba
• Madame Amuse Beauty RX
• Niloufar Madani-Weiss

• 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 Nov 8, 2021; 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.