Active NPI
Anastasia A Gavrilets, MA, RD
- Registered Dietitian
- Reno, NV
National Provider Identifier
1972267904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 40186-DI-0
- Practice address
- 142 State St Apt a
Reno, NV 89501-1511 - Phone
- (865) 308-9325
- NPI assigned
- Oct 26, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Registered Dietitian | 133V00000X | 40186-DI-0 | NV | Primary |
| Dietary Manager | 132700000X | |||
| Nutrition Education Nutritionist | 133NN1002X | NV |
Addresses
Primary practice location
142 State St Apt a
Reno, NV 89501-1511
Mailing address
142 State St Apt a
Reno, NV 89501-1511
Phone (865) 308-9325
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition a&M | Current | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nutrition Chiropractor
- Reno, NV
- NPI 1346015492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1972267904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 STATE ST APT A",
"city": "RENO",
"state": "NV",
"postal_code": "895011511",
"telephone_number": "865-308-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 STATE ST APT A",
"city": "RENO",
"state": "NV",
"postal_code": "895011511",
"telephone_number": "865-308-9325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVRILETS",
"first_name": "ANASTASIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MA, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "40186-DI-0",
"primary": true
},
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NV",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.