DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERROD PAUL LIBONATI, RD

Active Sole Proprietor

JERROD PAUL LIBONATI, RD is a Registered Dietitian healthcare provider located in LAS VEGAS, Nevada. NPI 1427639459 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · LAS VEGAS, NV

Registration Details

NPI Number
1427639459
Provider Type
Individual
Gender
Male
NPI Issued
Apr 20, 2021 (5.2927755369433 yrs)
Last Updated
May 15, 2021
Licenses
911745 (CA)
39960-DI-0 (NV)
Sole Proprietor
Yes

Practice Information

Address
280 S DECATUR BLVD
LAS VEGAS, NV, 891072936
Browse NV providers · Browse ZIP 89107
Phone
7027590953
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in LAS VEGAS, NV

Name Credential NPI
JUDITH FRIED RD, CDE 1679575229
MIRIAM B EEN R.D. 1043298847
PORSCHE LASHAI PACE RD 1275505232
CHERYL A KAPALKA RD 1003878059
DEBRA J STAUFFER MNT 1306895305
MS. JEANNE M BRADFORD MS RD 1033164082
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.