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MICHELLE MALLORY RD
NPI 1477963650
Dietitian, Registered in Las Vegas, NV

Active since April 28, 2014Accepts Medicare Assignment
3802 MEADOWS LN, LAS VEGAS, NV 89107(702) 313-8446(702) 221-8446 Get Directions Write a Review

NPPES record last updated: September 28, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michelle Mallory Rd NPPES

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

MICHELLE MALLORY RD (NPI 1477963650) is an individual dietitian, registered in Las Vegas, Nevada, licensed in Nevada (86028933) and active in the NPI registry since April 2014. She is a graduate of University Of Nevada School Of Medicine (2012).

NPPES Registry Identity

NPI1477963650
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMICHELLE MALLORYCredential: RD
Location Address3802 MEADOWS LNLas Vegas, NV 89107-3112
Mailing Address2345 E. Prater Way, Suite 207Sparks, NV 89434 · (775) 356-9393 · Fax (775) 356-5590
Phone(702) 313-8446
Fax(702) 221-8446
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2012
Enumeration DateApril 28, 2014
Last NPPES UpdateSeptember 28, 2017
✔ NPI 1477963650 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 · 86028933
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.
3802 MEADOWS LN, Las Vegas, NV 89107
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Other Names 1

Former Name (1)Michelle Northup

Other Identifiers 1

Medicaid1477963650NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Mallory Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466671375
PECOS Enrollment IDI20140908001732

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.07 – $173.24
Typical copayment $0.00 (range $14.26 – $43.31)
Most-billed visit code NA
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

NICOLE ISHII RD, LD
Dietitian, Registered
3802 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 313-8446
SWCC, INC.
Non-Pharmacy Dispensing Site
3802 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 313-8446
DR. MARC R LEDUC M.D.
Surgery
3802 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 313-8446
DIANA PATRICIA RODRIGUEZ PA-C
Physician Assistant
3802 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 313-8446
DR. JAMES DEE ATKINSON M.D.
Surgery
3802 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 313-8446
MARC T WASHINGTON RPA-C
Physician Assistant
3802 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 313-8446
NEVADA PERIPHERAL NERVE INSTITUTE
Clinic/Center
3802 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 606-4246
ATKINSON, LTD
Family Medicine (Adult Medicine)
3802 MEADOWS LN
LAS VEGAS, NV 89107
Clark County (702) 478-8446

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 Michelle Mallory's NPI number?

The NPI number for Michelle Mallory is 1477963650. It was assigned to this individual provider in the NPPES registry on April 28, 2014. The provider is also known as Michelle Northup.

Where is Michelle Mallory located?

Michelle Mallory practices at 3802 Meadows Ln, Las Vegas, NV 89107. The listed phone number is (702) 313-8446.

What is Michelle Mallory's specialty?

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

Is Michelle Mallory enrolled in Medicare?

Yes. Michelle Mallory is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Mallory was last updated on September 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.