ANISSA A GUSTAFSON R.D. - NPI 1205059565 - Dietitian, Registered in Las Vegas, NV

Q: What is Anissa Gustafson's NPI number?

The NPI number for Anissa Gustafson is 1205059565. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Anissa Gustafson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Anissa Gustafson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Anissa A Gustafson R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANISSA A GUSTAFSON R.D. (NPI 1205059565) is an individual dietitian, registered in Las Vegas, Nevada, licensed in Nevada (844704) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1205059565

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameANISSA A GUSTAFSONCredential: R.D.

Location Address3006 S MARYLAND PKWY, SUITE 690Las Vegas, NV 89109-2218

Mailing Address3006 S Maryland Pkwy, Suite 690Las Vegas, NV 89109-2218 · (702) 732-1290 · Fax (702) 732-0992

Phone(702) 732-1290

Fax(702) 732-0992

Sole ProprietorNo

Enumeration DateApril 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1205059565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NV · 844704

Definition

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.

3006 S MARYLAND PKWY, Las Vegas, NV 89109

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