NPI 1205534906 · live from the CMS NPI Registry
Angelica Karina Balistreri, RDN
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1205534906, active.
NPI record
| NPI | 1205534906 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 8250 N Grand Canyon Dr Unit 2155, Las Vegas, NV 89166 |
| Practice phone | 702-858-0495 |
| Enumerated | February 21, 2023 |
| Last updated | June 6, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 39876-DI-2 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.