JERROD PAUL LIBONATI RD
NPI 1427639459
Dietitian, Registered in Las Vegas, NV

Q: What is Jerrod Libonati's NPI number?

The NPI number for Jerrod Libonati is 1427639459. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Jerrod Libonati'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 Jerrod Libonati was last updated on May 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2021

280 S DECATUR BLVD, LAS VEGAS, NV 89107(702) 759-0953 Get Directions Write a Review

NPPES record last updated: May 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2021, Apr 21, 2021 (2 updates tracked since 2021).

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About Jerrod Paul Libonati Rd NPPES

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

JERROD PAUL LIBONATI RD (NPI 1427639459) is an individual dietitian, registered in Las Vegas, Nevada, licensed in Nevada (39960-DI-0) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1427639459

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameJERROD PAUL LIBONATICredential: RD

Location Address280 S DECATUR BLVDLas Vegas, NV 89107-2936

Mailing Address280 S Decatur BlvdLas Vegas, NV 89107-2936 · (702) 759-0953

Phone(702) 759-0953

Sole ProprietorYes

Enumeration DateApril 20, 2021

Last NPPES UpdateMay 15, 20212 updates tracked since enumeration

NPPES CertifiedApril 22, 2021

✔ NPI 1427639459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in NV · 39960-DI-0✔ Licensed in CA · 911745

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.

280 S DECATUR BLVD, Las Vegas, NV 89107

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Other Identifiers 2

Medicaid911745CA

Medicaid39960-DI-0NV

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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