| Mindshift Nutrition & Wellness | |
|
7251 W Lake Mead Blvd Ste 300, Las Vegas, NV 89128-8380 | |
| (725) 301-0959 | |
| (702) 941-9075 |
| Full Name | Mindshift Nutrition & Wellness |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 7251 W Lake Mead Blvd Ste 300, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255020889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Jennifer D Derasmo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265995054 PECOS PAC ID: 3870836794 Enrollment ID: I20190516002144 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindshift Nutrition & Wellness 3211 Stratford Hall Ct, Las Vegas, NV 89135-2140 Ph: (702) 817-0385 | Mindshift Nutrition & Wellness 7251 W Lake Mead Blvd Ste 300, Las Vegas, NV 89128-8380 Ph: (725) 301-0959 |
Ms. Dayna Lee Cohen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9685 Phoenician Ave, Las Vegas, NV 89147 Phone: 403-601-1601 |
Cheryl A Kapalka, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5400 S Rainbow Blvd, Las Vegas, NV 89118 Phone: 702-853-3087 |
Mr. Dean Jeffrey Chiarelli, R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1524 Pinto Ln, Las Vegas, NV 89106 Phone: 702-207-8205 Fax: 702-382-3412 |
Lori Nicole Watson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 405-863-7068 |
Krysten Fletcher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3532 Bella Valencia Ct, Las Vegas, NV 89141 Phone: 702-413-8035 |
Morgan Najarro, RDN/LD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8250 W Charleston Blvd Ste 110, Las Vegas, NV 89117 Phone: 702-764-9290 |
Crystal L Petrello, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9301 Dorrell Ln, Las Vegas, NV 89149 Phone: 702-575-7717 |