Active NPI
Desert Dietitians LLC
- Registered Dietitian
- Henderson, NV
National Provider Identifier
1942787122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- DESERT DIETITIANS LLC
- Practice address
- 2470 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-2733 - Phone
- (608) 206-4837
- NPI assigned
- Jul 20, 2018
- Last updated
- Apr 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Ingenito
- Title
- Credentialing Specialists
- Phone
- (570) 352-3063
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2470 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-2733
Mailing address
7073 Leadville Peak Ave
Las Vegas, NV 89179-1503
Phone (608) 206-4837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2470 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (608) 206-4837
8560 S Eastern Ave
Ste 100
Las Vegas, NV 89123
Phone (608) 206-4837
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Registered Dietitian
- Henderson, NV
- NPI 1720565914
-
- Registered Dietitian
- Henderson, NV
- NPI 1821730508
-
- Registered Dietitian
- Las Vegas, NV
- NPI 1326942905
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1942787122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7073 LEADVILLE PEAK AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891791503",
"telephone_number": "608-206-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 W HORIZON RIDGE PKWY STE 120",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522733",
"telephone_number": "608-206-4837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT DIETITIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-20",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "INGENITO",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
"authorized_official_telephone_number": "570-352-3063"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
- Melissa Desamero
- Michelle Deschamps, LPN
- Desert Allergy, Asthma & Immunology, LLP
- Desert Bloom Recovery LTD. (Desert Bloom Recovery)
- Desert Dental (Ilya Benjamin)
- Desert Gastroenterology Associates
- Desert Orthodontics & Pediatric Dentistry, LLC
- Desert Orthotics LLC
- Desert Pmhnp, LLC
- Desert Podiatry Management Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.