Active NPI
Leslie Arlene Johnson
- Registered Dietitian
- Sandusky, OH
National Provider Identifier
1003540378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 09820
- Practice address
- 1221 Hayes Ave
Sandusky, OH 44870-3345 - Phone
- (419) 557-6990
- NPI assigned
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 09820 | OH | Primary |
Addresses
Primary practice location
1221 Hayes Ave
Sandusky, OH 44870-3345
Mailing address
1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220902002274 | OH | Practitioner - Registered Dietitian Or Nutrition Professional | 5193109593 | Reassigns benefits to 1 organization |
| I20260414000603 | AL | Practitioner - Registered Dietitian Or Nutrition Professional | 5193109593 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1108 Oshaughnessy Ave NE
Huntsville, AL 35801-6261
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09820 | OH | MD | Registered Dietitian |
Practice roles (18 of 20)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Bean Grove LLC | Dietitian, Registered | Current | Accepting new patients |
| Family Health Services of Erie County | Current | Accepting new patients | |
| Family Health Services of Erie County | Current | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| XP Sports International | Dietitian, Registered | Past | Accepting new patients |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Firelands Regional Medical Center | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients | |
| Family Health Services of Erie County | Past | Accepting new patients |
Locations
265 Benedict Ave
Norwalk, OH 44857
Phone (419) 219-9776
1912 Hayes Ave
Ste D
Sandusky, OH 44870
Phone (419) 502-4800
Networks
- TX HMO D-SNP
- TX HMO
Organizations & group practices 18
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.
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1831343805
OH
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Huron, OH
- NPI 1902662349
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1033937214
-
- Federally Qualified Health Center (FQHC)
- Milan, OH
- NPI 1124787122
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1164060372
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1184441081
-
- Federally Qualified Health Center (FQHC)
- Huron, OH
- NPI 1205692753
-
- Federally Qualified Health Center (FQHC)
- Berlin Heights, OH
- NPI 1235898321
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1265959597
-
- Federally Qualified Health Center (FQHC)
- Sandusky, OH
- NPI 1306651237
-
- Federally Qualified Health Center (FQHC)
- Norwalk, OH
- NPI 1659979219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1003540378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448703323",
"telephone_number": "419-557-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448703345",
"telephone_number": "419-557-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LESLIE",
"middle_name": "ARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "09820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.