| Desert Dietitians LLC | |
|
2470 W Horizon Ridge Pkwy Ste 120 Henderson NV 89052-2733 | |
| (608) 206-4837 | |
| Not Available |
| Full Name | Desert Dietitians LLC |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 2470 W Horizon Ridge Pkwy Ste 120, Henderson, Nevada |
| Authorized Official Name and Position | Stephanie Ingenito (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 5703523063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Dietitians LLC 7073 Leadville Peak Ave Las Vegas NV 89179-1503 Ph: (608) 206-4837 | Desert Dietitians LLC 2470 W Horizon Ridge Pkwy Ste 120 Henderson NV 89052-2733 Ph: (608) 206-4837 |
| NPI Number | 1942787122 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Medicare PECOS PAC ID | 6507114642 |
|---|---|
| Medicare Enrollment ID | O20180806001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942787122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 133V00000X | Dietitian, Registered | () | Primary |
| Provider Name | Madeline Belaustegui |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720565914 PECOS PAC ID: 4587912621 Enrollment ID: I20180813003391 |
| Provider Name | Emma Carolina Cheskey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821730508 PECOS PAC ID: 4789035825 Enrollment ID: I20240112002218 |
| Provider Name | Allison Miera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538967476 PECOS PAC ID: 0042734329 Enrollment ID: I20250408002301 |
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