Fremont Primary Care - Endocrinology

Organization Active
NPI 1295712693
Metabolic Nutrition Registered Dietitian Las Vegas, NV

NPI 1295712693 belongs to Fremont Primary Care - Endocrinology, a metabolic nutrition registered dietitian with a practice location in Las Vegas, NV. The NPI was issued on December 27, 2005, and the record was last updated in NPPES on September 11, 2025. The record lists 4 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Metabolic Nutrition Registered Dietitian Primary 133VN1006X Not listed
Registered Dietitian 133V00000X Not listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Not listed
Nurse Practitioner 363L00000X Not listed

Practice location

4880 Wynn Rd
Las Vegas, NV 89103-5406
Phone: (702) 362-3422

Local context

Active NPPES records list 1 provider with metabolic nutrition registered dietitian as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 4 in Nevada and 877 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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