COLLEEN COREY (NPI# 1508004078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508004078 |
| Entity Type | Individual |
| Full Name | COLLEEN COREY |
| Credential | RD, CDE |
| Practice Address |
2704 N Tenaya Way Las Vegas NV 89128-0424 |
| Mailing Address |
Po Box 15645 Las Vegas NV 89114-5645 |
| Practice Telephone | 7026325603 |
| Practice Fax Number | 7022594968 |
| Mailing Telephone | 7026325603 |
| Mailing Fax Number | 7022594968 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2014-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 32949DI-0 | NV | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 723996 | MD | Dietary & Nutritional Service Providers |
| Street Address |
2704 N TENAYA WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399109 | Elizabeth Brewer | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2005-07-11 |
| 1790329407 | Robert B. Mcbeath, Md II PC | Internal Medicine | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2019-11-05 |
| 1881237287 | Toni Harris | Physician Assistant | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2019-10-18 |
| 1730745217 | Heather Webb | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128 | 2019-05-10 |
| 1215490453 | Darneen Pang | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2019-04-12 |
| 1366919870 | Ainin Alifah Kasdi | Physician Assistant | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2018-11-01 |
| 1871076588 | Carlie Jane Thompson | Physician Assistant | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2018-09-09 |
| 1194173732 | Natalia Ermakova | Nurse Practitioner | 2704 N Tenaya Way, Las Vegas, NV 89128 | 2016-05-24 |
| 1104273218 | Moayad Ismail | Internal Medicine | 2704 N Tenaya Way, Las Vegas, NV 89128 | 2016-05-18 |
| 1457719635 | Rebecca Stevens | Physician Assistant | 2704 N Tenaya Way, Las Vegas, NV 89128-0424 | 2016-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780297077 | Alexa Eisenberg | Dietitian, Registered | 4227 Pacifico Ln, Las Vegas, NV 89135-2525 | 2020-08-26 |
| 1881203552 | Serena Marie Berman | Dietitian, Registered | 1810 E Sahara Ave Ste 122, Las Vegas, NV 89104-3707 | 2020-07-28 |
| 1689292054 | Jessica Ann Galland | Dietitian, Registered | 1054 Dancing Vines Ave, Las Vegas, NV 89183-6320 | 2020-07-11 |
| 1497378723 | Nutrition 4 Body and Mind LLC | Dietitian, Registered | 6671 S. Las Vegas Blvd., Bldg. D, Suite 210, Las Vegas, NV 89119-3273 | 2020-05-21 |
| 1932738242 | Nicole Caoile | Dietitian, Registered | 8352 W Warm Springs Rd Ste 300, Las Vegas, NV 89113-3631 | 2020-04-07 |
| 1104463124 | Zenaida Huynh | Dietitian, Registered | 6888 Crimson Horse Ct, Las Vegas, NV 89148-5144 | 2019-12-09 |
| 1164082053 | Mary Joy Inoceda De Guzman-walters | Dietitian, Registered | 11768 Via Esperanza Ave, Las Vegas, NV 89138 | 2019-06-13 |
| 1194382556 | Marcelo Bellatti | Dietitian, Registered | 5600 Spring Mountain Rd Ste 106, Las Vegas, NV 89146-8822 | 2019-05-21 |
| 1538628672 | Synergy Nutrition LLC | Dietitian, Registered | 3651 Lindell Rd Ste D263, Las Vegas, NV 89103-1254 | 2019-03-18 |
| 1356811517 | Hailee Brill | Dietitian, Registered | 9492 Cantata Crest Ct, Las Vegas, NV 89178-3203 | 2018-11-30 |
| Find all providers in LAS VEGAS | ||||
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| 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.