NPI 1720460199 · live from the CMS NPI Registry
Deidra Cody Devereaux, M.S., R.D.N.
Dietitian, Registered in North Las Vegas, NV. National Provider Identifier 1720460199, active.
NPI record
| NPI | 1720460199 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6900 Pecos Rd, North Las Vegas, NV 89086 |
| Practice phone | 702-791-9000 |
| Enumerated | June 22, 2015 |
| Last updated | August 2, 2023 |
| Sole proprietor | No |
| Other names | Deidra Cody |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 948690 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.