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MK-RDNUTRITION NPI 1124553375


NPI Information

NPI: 1124553375
Provider Name: MK-RDNUTRITION

Doing Business As: CREATING A NEW NORM

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
6040 S FORT APACHE RD
SUITE #100
LAS VEGAS, NV
ZIP 89148
Phone: (702) 781-2577
Get Directions

MK-RDNUTRITION is a dietitian registered in Las Vegas, NV. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MK-RDNUTRITION NPI is 1124553375. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Creating A New Norm.

The provider's business location address is:

6040 S FORT APACHE RD
SUITE #100
LAS VEGAS, NV
ZIP 89148-655
Phone: (702) 781-2577

The provider's authorized official is Michelle Konstantarakis .
The authorized official title is President and has the following contact phone number (702) 589-1414.

The enumeration date for this NPI number is 4/25/2017 and was last updated on 4/25/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered32302D1-0NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132302D1-0OTHERNEVADANV DIETITIAN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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