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 provides Registered Dietitian services 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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