MEDICARE: JUDITH FRIED RD, CDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian		NV

General Provider Information

NPI Number	:	1679575229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH FRIED RD, CDE

Provider Business Mailing Address
First Line	:	2716 N TENAYA WAY
Second Line	:	2ND FLOOR OFFICE 232 A
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0424
Country	:	US
Telephone Number	:	702-242-7533
Fax Number	:	702-258-3563

Provider Business Practice Location Address
First Line	:	2716 N TENAYA WAY
Second Line	:	2ND FLOOR OFFICE 232 A
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0424
Country	:	US
Telephone Number	:	702-242-7533
Fax Number	:	702-258-3563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	09/14/2012

Similar Medicare Providers

1447255773 — SAVITA M CHANDER MD
Practice Location Address:

2716N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-877-8600
Practice Fax: 702-242-7944

1851399109 — ELIZABETH BREWER CNM, WNHP
Practice Location Address:

2704 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-243-8500
Practice Fax: 702-363-8195

1407856503 — DR. JEFFREY SCOTT MORTON M.D.
Practice Location Address:

2704 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-877-5199
Practice Fax:

1063414761 — BLAIR KAICHEN DUDDY MD
Practice Location Address:

2704 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-243-8500
Practice Fax: 702-869-5347

1497741938 — DR. ERIN C BROTHERTON PHARM.D., CGP
Practice Location Address:

2716 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-467-8811
Practice Fax:

1093793028 — FAMILY HOME HOSPICE, INC.
Practice Location Address:

2720 N TENAYA WAY STE 300
LAS VEGAS, NV
89128-0424

Practice Phone: 702-560-2821
Practice Fax: 702-667-4607

Directions to “ JUDITH FRIED RD, CDE” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.