Organization Active NPI

Anders and Dunaway Nutrition Consultants, Inc.

  • Registered Dietitian
  • Las Vegas, NV
National Provider Identifier
1962445619
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ANDERS AND DUNAWAY NUTRITION CONSULTANTS, INC.
Practice address
3430 E Flamingo Rd Ste 234
Las Vegas, NV 89121-5065
Phone
(702) 382-8841
Fax
(702) 369-2370
NPI assigned
Jun 13, 2006
Last updated
Mar 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Mary Dunaway, RD, CDENPI 1396788048
Title
Owner/Operator
Phone
(702) 382-8841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Registered Dietitian 133V00000X NV Primary

Addresses

Primary practice location

3430 E Flamingo Rd Ste 234
Las Vegas, NV 89121-5065

Mailing address

3430 E Flamingo Rd Ste 234
Las Vegas, NV 89121-5065
Phone (702) 382-8841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000113 NV Part B Supplier - Clinic/Group Practice 6901708015 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2121 E Flamingo Rd
Ste 106
Las Vegas, NV 89119
Phone (702) 382-8841

2121 E Flamingo Rd
Ste 114
Las Vegas, NV 89119
Phone (702) 382-8841

2235B Renaissance Dr
Las Vegas, NV 89119
Phone (702) 266-7831

3430 E Flamingo Rd
Ste 234
Las Vegas, NV 89121
Phone (702) 382-8841

4040 S Eastern Ave
Ste 210
Las Vegas, NV 89119
Phone (909) 329-5284

4275 Burnham Ave
Ste 285
Las Vegas, NV 89119
Phone (702) 382-8841

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1962445619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 234",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215065",
            "telephone_number": "702-382-8841",
            "fax_number": "702-369-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 234",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215065",
            "telephone_number": "702-382-8841",
            "fax_number": "702-369-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERS AND DUNAWAY NUTRITION CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "DUNAWAY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "702-382-8841",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": null,
            "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 Mar 21, 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.

Verify at the official NPI Registry.