Active NPI
Leslie Elizabeth Weidner, RDN, CD
- Registered Dietitian
- Kirkland, WA
National Provider Identifier
1023570835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 60920384
- Practice address
- 11925 NE 148TH St
Kirkland, WA 98034-4512 - Phone
- (773) 519-3755
- NPI assigned
- Apr 1, 2019
- 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 | 60920384 | WA | Primary |
Addresses
Primary practice location
11925 NE 148TH St
Kirkland, WA 98034-4512
Mailing address
11925 NE 148TH St
Kirkland, WA 98034-4512
Phone (773) 519-3755
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60920384 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1023570835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11925 NE 148TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344512",
"telephone_number": "773-519-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11925 NE 148TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344512",
"telephone_number": "773-519-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDNER",
"first_name": "LESLIE",
"middle_name": "ELIZABETH",
"credential": "RDN, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60920384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.