NPI 1497601298 · live from the CMS NPI Registry
Cultivate Wellness Nutrition LLC
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1497601298, active.
NPI record
| NPI | 1497601298 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3113 Villa Colonade Drive, Las Vegas, NV 89128 |
| Practice phone | 702-623-2263 |
| Mailing address | 304 S Jones Blvd # 2851, Las Vegas, NV 89107 |
| Enumerated | March 5, 2026 |
| Last updated | March 5, 2026 |
| Authorized official | Jenny Lai, Managing Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.