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

Intermountain Medical Holding Nevada, Inc

Organization Registered Dietitian · NPI 1558153106

Intermountain Medical Holding Nevada, Inc is a Registered Dietitian in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone: (702) 732-1290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X
Registered Dietitian Taxonomy 133V00000X
Genetic Counselor (M.S.) Taxonomy 170300000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1558153106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitch Cloward — Region President · (702) 216-3346
Other names Intermountain Health Heart Center
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133

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