Nutrition 4 Body and Mind LLC
Dietitian, Registered

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 Identifier (NPI) 1497378723
Entity Type Organization
Practice Address 6671 S. Las Vegas Blvd.
Bldg. D, Suite 210
Las Vegas
NV 89119-3273
Practice Telephone 7028128380
Mailing Address 10040 Baystone St
Las Vegas
NV 89141-8690
Mailing Telephone 7028128380
Authorized Official Name Daphnne Balizan (OWNER)
Authorized Official Telephone 7028128380
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-21
Last Update Date 2020-05-26

Taxonomy Codes

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

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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1962914341 Jordan Wilson Dietitian, Registered 2075 E Flamingo Rd -southmagna, Room242, Las Vegas, NV 89119-5188 2017-10-25
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Office Location

Street Address 6671 S. LAS VEGAS BLVD.
State NV
Zip Code 89119-3273

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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.