Individual provider Active NPI

Lesley Gail Kelner, RD, LDN, CDE

  • Registered Dietitian
  • Levittown, PA
National Provider Identifier
1003092123
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN000589 Issued in PA
Practice address
2346 Trenton Rd
Suite C
Levittown, PA 19056-1423
Phone
(215) 741-4680
Fax
(215) 741-4683
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN000589 PA Primary

Addresses

Primary practice location

2346 Trenton Rd
Suite C
Levittown, PA 19056-1423

Mailing address

425 Briggs Rd
Langhorne, PA 19047-8228
Phone (215) 741-4680

Other names 1

  • Miss Lesley Gail Musselman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000713 PA Practitioner - Registered Dietitian Or Nutrition Professional 9830345131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2346 Trenton Rd
Suite C
Levittown, PA 19056-1423
Phone (215) 741-4682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN000589PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Nutrition Counseling Services LLC Dietitian, Registered CurrentSince Feb 8, 2002 Accepting new patients

Locations

2346 Trenton Rd
Ste C
Levittown, PA 19056
Phone (215) 741-4680

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1003092123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BRIGGS RD",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478228",
            "telephone_number": "215-741-4680",
            "fax_number": "215-741-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 TRENTON RD",
            "address_2": "SUITE C",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190561423",
            "telephone_number": "215-741-4680",
            "fax_number": "215-741-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELNER",
        "first_name": "LESLEY",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "MUSSELMAN",
            "middle_name": "GAIL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.