Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Basin Nutrition LLC

Organization Registered Dietitian · NPI 1053883520

Great Basin Nutrition LLC is a Registered Dietitian in Carson City, Nevada. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

783 Basque Way Ste 103
Carson City, NV 89706-7981
Phone: (775) 720-3490
Fax: (775) 245-2867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1053883520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Pettersen — Owner · (775) 720-3490
NPI enumeratedDecember 21, 2018
Last updated in NPPESDecember 21, 2018
Mailing address783 Basque Way Ste 103, Carson City, NV 89706-7981

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