Individual provider Active NPI

Leslie H Kubera, MA, RD, LDN

  • Registered Dietitian
  • Downingtown, PA
National Provider Identifier
1003253279
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN002850 Issued in PA
Practice address
721 E Lancaster Ave
Downingtown, PA 19335-2719
Phone
(484) 680-5366
Fax
(484) 397-0310
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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 DN002850 PA Primary

Addresses

Primary practice location

721 E Lancaster Ave
Downingtown, PA 19335-2719

Mailing address

721 E Lancaster Ave
Downingtown, PA 19335-2719
Phone (484) 680-5366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
DN002850PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Downingtown Nutrition & Weight Management Center Dietitian, Registered Past Accepting new patients

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": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1003253279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E LANCASTER AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352719",
            "telephone_number": "484-680-5366",
            "fax_number": "484-397-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E LANCASTER AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352719",
            "telephone_number": "484-680-5366",
            "fax_number": "484-397-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBERA",
        "first_name": "LESLIE",
        "middle_name": "H",
        "credential": "MA, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.