Active NPI
Jo-Ann B Aquino, RDN
- Registered Dietitian
- North Las Vegas, NV
National Provider Identifier
1962810564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 39654-DI-1
- Practice address
- 6900 N Pecos Rd
North Las Vegas, NV 89086-4400 - Phone
- (702) 773-0358
- Fax
- (702) 263-9493
- NPI assigned
- Jul 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 39654-DI-1 | NV | Primary |
Addresses
Primary practice location
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
9989 Princess Cut St
Las Vegas, NV 89183-6282
Phone (702) 773-0358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104100000X | Medicaid | NV |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39654-DI-1 | NV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1962810564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9989 PRINCESS CUT ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891836282",
"telephone_number": "702-773-0358",
"fax_number": "702-263-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 N PECOS RD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890864400",
"telephone_number": "702-773-0358",
"fax_number": "702-263-9493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "JO-ANN",
"middle_name": "B",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-27",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39654-DI-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104100000X",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.