KAROLINA BALKENBUSH (NPI# 1679079974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679079974 |
| Entity Type | Individual |
| Full Name | KAROLINA BALKENBUSH |
| Practice Address |
5761 S Fort Apache Rd Bld 8 Las Vegas NV 89148-5506 |
| Practice Telephone | 7023416610 |
| Practice Fax Number | 7023416961 |
| Mailing Telephone | 7023416610 |
| Mailing Fax Number | 7023416961 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | LICENSE | 32626-DI-2 | 01 |
| Street Address |
5761 S FORT APACHE RD BLD 8 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198043 | Joseph A Adashek | Obstetrics & Gynecology | 5761 S Fort Apache Rd, Bldg. 8, Las Vegas, NV 89148-5506 | 2005-07-19 |
| 1750911897 | Jessica Ann Greenwood | Genetic Counselor, MS | 5761 S Fort Apache Rd, Las Vegas, NV 89148-5506 | 2020-01-16 |
| 1417258617 | Tracey Lynn Gaebe-schulz | Genetic Counselor, MS | 5761 S Fort Apache Rd, Las Vegas, NV 89148-5506 | 2010-11-04 |
| 1922309236 | Teresa Tiberg | Genetic Counselor, MS | 5761 S Fort Apache Rd, Las Vegas, NV 89148-5506 | 2010-11-03 |
| 1881914208 | Donna Ready | Nutritionist | 5761 S Fort Apache Rd, Las Vegas, NV 89148-5506 | 2010-06-08 |
| 1164573853 | Leslie R Duerson | Dietitian, Registered | 5761 S Fort Apache Rd, Las Vegas, NV 89148-5506 | 2007-01-16 |
| 1205997277 | Sean Michael Keeler | Obstetrics & Gynecology | 5761 S Fort Apache Rd, Bld. 8, Las Vegas, NV 89148-5506 | 2006-12-13 |
| 1477531127 | Donald Lee Roberts | Obstetrics & Gynecology | 5761 S Fort Apache Rd, Las Vegas, NV 89148-5506 | 2006-01-04 |
| 1780684704 | Van Reid Bohman | Obstetrics & Gynecology | 5761 S Fort Apache Rd, Bldg. 8, Las Vegas, NV 89148-5506 | 2005-08-01 |
| 1386643575 | Paul T Wilkes | Obstetrics & Gynecology | 5761 S Fort Apache Rd, Bldg. 8, Las Vegas, NV 89148-5506 | 2005-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| 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.