DOMINIQUE ASHLEY RUSSO RDN, LD - NPI 1295455681 - Dietitian, Registered in Henderson, NV

Q: What is Dominique Russo's NPI number?

The NPI number for Dominique Russo is 1295455681. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Q: What is Dominique Russo'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 Dominique Russo was last updated on August 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dominique Ashley Russo Rdn, Ld NPPES

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

DOMINIQUE ASHLEY RUSSO RDN, LD (NPI 1295455681) is an individual dietitian, registered in Henderson, Nevada, licensed in Nevada (39929-DI-0) and active in the NPI registry since August 2022. She maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1295455681

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameDOMINIQUE ASHLEY RUSSOCredential: RDN, LD

Location Address2850 W HORIZON RIDGE PKWY STE 200Henderson, NV 89052-4395

Mailing Address2412 Juniper Canyon CtLas Vegas, NV 89134-1836 · (702) 279-2523

Phone(702) 485-7235

Fax(833) 407-9212

Sole ProprietorYes

Enumeration DateAugust 29, 2022

NPPES CertifiedJune 3, 2021

✔ NPI 1295455681 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 · 39929-DI-0

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.

2850 W HORIZON RIDGE PKWY STE 200, Henderson, NV 89052

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Secondary Practice Location 1

Location 12850 W Horizon Ridge Pkwy Ste 200Henderson, NV 89052-4395 · Phone (702) 485-7235 · Fax (833) 407-9212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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