MICHELLE MALLORY (NPI# 1477963650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477963650 |
| Entity Type | Individual |
| Full Name | MICHELLE MALLORY |
| Other Name | MICHELLE NORTHUP |
| Credential | RD |
| Practice Address |
3802 Meadows Ln Las Vegas NV 89107-3112 |
| Mailing Address |
2345 E. Prater Way, Suite 207 Sparks NV 89434 |
| Practice Telephone | 7023138446 |
| Practice Fax Number | 7022218446 |
| Mailing Telephone | 7753569393 |
| Mailing Fax Number | 7753565590 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86028933 | NV | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1477963650 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535586 | Michelle Alyssa Mallory | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-12-12 |
| Street Address |
3802 MEADOWS LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696860 | Darren W Soong | Surgery | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2005-08-17 |
| 1114468592 | Nicole Ishii | Dietitian, Registered | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2017-03-17 |
| 1689926693 | Marc T Washington | Physician Assistant | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2012-10-15 |
| 1801152855 | Desert Springs Medical Group-atkinson PC | Dietitian, Registered | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2012-04-04 |
| 1205116985 | Swcc, Inc. | Non-Pharmacy Dispensing Site | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2011-08-25 |
| 1598913808 | Diana Patricia Rodriguez | Physician Assistant | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2008-08-29 |
| 1700071404 | Nevada Peripheral Nerve Institute | Clinic/Center | 3802 Meadows Ln, Las Vegas, NV 89107-3123 | 2007-09-06 |
| 1578767216 | Marc R Leduc | Surgery | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2007-06-14 |
| 1801966791 | Atkinson, Ltd | Family Medicine | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2006-11-08 |
| 1629160627 | James Dee Atkinson | Surgery | 3802 Meadows Ln, Las Vegas, NV 89107-3112 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780297077 | Alexa Eisenberg | Dietitian, Registered | 4227 Pacifico Ln, Las Vegas, NV 89135-2525 | 2020-08-26 |
| 1881203552 | Serena Marie Berman | Dietitian, Registered | 1810 E Sahara Ave Ste 122, Las Vegas, NV 89104-3707 | 2020-07-28 |
| 1689292054 | Jessica Ann Galland | Dietitian, Registered | 1054 Dancing Vines Ave, Las Vegas, NV 89183-6320 | 2020-07-11 |
| 1497378723 | Nutrition 4 Body and Mind LLC | Dietitian, Registered | 6671 S. Las Vegas Blvd., Bldg. D, Suite 210, Las Vegas, NV 89119-3273 | 2020-05-21 |
| 1932738242 | Nicole Caoile | Dietitian, Registered | 8352 W Warm Springs Rd Ste 300, Las Vegas, NV 89113-3631 | 2020-04-07 |
| 1104463124 | Zenaida Huynh | Dietitian, Registered | 6888 Crimson Horse Ct, Las Vegas, NV 89148-5144 | 2019-12-09 |
| 1164082053 | Mary Joy Inoceda De Guzman-walters | Dietitian, Registered | 11768 Via Esperanza Ave, Las Vegas, NV 89138 | 2019-06-13 |
| 1194382556 | Marcelo Bellatti | Dietitian, Registered | 5600 Spring Mountain Rd Ste 106, Las Vegas, NV 89146-8822 | 2019-05-21 |
| 1538628672 | Synergy Nutrition LLC | Dietitian, Registered | 3651 Lindell Rd Ste D263, Las Vegas, NV 89103-1254 | 2019-03-18 |
| 1356811517 | Hailee Brill | Dietitian, Registered | 9492 Cantata Crest Ct, Las Vegas, NV 89178-3203 | 2018-11-30 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.