Raiza Shipin, RD/RDN, LD
Dietitian, Registered in Henderson, NV. Individual provider (NPI-1).
NPI number1366098014
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1366098014
- Entity type
- Individual (NPI-1)
- Name
- Raiza Shipin
- Credential
- RD/RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2019
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 35673-DI-2 | NV | Yes |
Practice location
2378 Brockton WayHenderson, NV 89074-5459
Phone 323-578-4774
Mailing address
675 S Green Valley Pkwy # 1018Henderson, NV 89052-0404
Phone 323-578-4774
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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