NUTRITION 4 BODY AND MIND LLC


Address: 6671 S. Las Vegas Blvd., Bldg. D, Suite 210, Las Vegas, NV 89119-3273
Phone: 7028128380

NUTRITION 4 BODY AND MIND LLC (NPI# 1497378723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497378723
Entity Type Organization
Organization Name NUTRITION 4 BODY AND MIND LLC
Practice Address 6671 S. Las Vegas Blvd.
Bldg. D, Suite 210
Las Vegas
NV 89119-3273
Mailing Address 10040 Baystone St
Las Vegas
NV 89141-8690
Practice Telephone 7028128380
Mailing Telephone 7028128380
Enumeration Date 2020-05-21
Last Update Date 2020-05-26
Authorized Official Name DAPHNNE BALIZAN (OWNER)
Authorized Official Telephone 7028128380
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 6671 S. LAS VEGAS BLVD.
BLDG. D, SUITE 210
City LAS VEGAS
State NV
Zip Code 89119-3273

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

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NPI Name Taxonomy Address Enumeration
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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
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
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1356811517 Hailee Brill Dietitian, Registered 9492 Cantata Crest Ct, Las Vegas, NV 89178-3203 2018-11-30
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Competitor

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City LAS VEGAS
Zip Code 89119

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Dataset Information

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.

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