| Great Basin Nutrition Llc | |
|
783 Basque Way Ste 103, Carson City, NV 89706-7981 | |
| (775) 720-3490 | |
| (775) 245-2867 |
| Full Name | Great Basin Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 783 Basque Way Ste 103, Carson City, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053883520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Jodi A Pettersen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598818619 PECOS PAC ID: 7214956085 Enrollment ID: I20051122000373 |
| Provider Name | Nicole Sweeney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164473765 PECOS PAC ID: 9638180136 Enrollment ID: I20220810003634 |
| Provider Name | Janel Lorraine Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447617329 PECOS PAC ID: 2264737758 Enrollment ID: I20230126000723 |
| Provider Name | Lauren Sharpe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073185732 PECOS PAC ID: 6305202367 Enrollment ID: I20230517002208 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Basin Nutrition Llc 783 Basque Way Ste 103, Carson City, NV 89706-7981 Ph: (775) 720-3490 | Great Basin Nutrition Llc 783 Basque Way Ste 103, Carson City, NV 89706-7981 Ph: (775) 720-3490 |
Silver State Nutrition Llp Dietitian Medicare: Not Enrolled in Medicare Practice Location: 141 Plantation Dr, Carson City, NV 89703 Phone: 775-888-9510 | |
Jessica Jane Chandler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8884 | |
Bret Hilding Sarnquist, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Parkway, Clinical Nutrition Department, Carson Tahoe Health, Carson City, NV 89703 Phone: 775-445-8884 Fax: 775-888-3220 | |
Hillary Lawson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8035 | |
Sierra Raven Kirby, MPH, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Pkwy, Carson City, NV 89703 Phone: 775-445-8820 | |
Mrs. Amy Marie Bottenberg, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 550 W Washington St Ste 1, Carson City, NV 89703 Phone: 775-883-3953 Fax: 775-885-2785 |