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

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: July 26, 2026.

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

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
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

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.

Physician Assistant
280 S DECATUR BLVD
LAS VEGAS, NV 89107
Community Health Worker
280 S DECATUR BLVD
LAS VEGAS, NV 89107
Pharmacy (Community/Retail Pharmacy)
280 S DECATUR BLVD
LAS VEGAS, NV 89107
Marriage & Family Therapist
280 S DECATUR BLVD
LAS VEGAS, NV 89107
Community Health Worker
280 S DECATUR BLVD
LAS VEGAS, NV 89107
Registered Nurse (General Practice)
280 S DECATUR BLVD
LAS VEGAS, NV 89107
Nurse Practitioner (Women's Health)
280 S DECATUR BLVD
LAS VEGAS, NV 89107
Clinic/Center (Community Health)
280 S DECATUR BLVD
LAS VEGAS, NV 89107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jerrod Libonati located?

Jerrod Libonati practices at 280 S Decatur Blvd, Las Vegas, NV 89107. The listed phone number is (702) 759-0953.

What is Jerrod Libonati's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerrod Libonati was last updated on May 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.