Active NPI
Leann Elizabeth John, MS, RD, LDN
- Registered Dietitian
- Jacksonville, FL
National Provider Identifier
1033342209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND5744
- Practice address
- 1200 Riverplace Blvd
Suite 105 #1181
Jacksonville, FL 32207 - Phone
- (814) 322-5620
- NPI assigned
- Sep 3, 2009
- Last updated
- Jun 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | ND5744 | FL | Primary |
Addresses
Primary practice location
1200 Riverplace Blvd
Suite 105 #1181
Jacksonville, FL 32207
Mailing address
1347 Azalea Dr
Jacksonville, FL 32205-8357
Phone (814) 322-5620
Other practice location 1
1347 Azalea Dr
Jacksonville, FL 32205-8357
Phone (814) 322-5620
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND5744 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1033342209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 AZALEA DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322058357",
"telephone_number": "814-322-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 RIVERPLACE BLVD",
"address_2": "SUITE 105 #1181",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32207",
"telephone_number": "814-322-5620"
}
],
"practiceLocations": [
{
"address_1": "1347 Azalea Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322058357",
"country_code": "US",
"telephone_number": "814-322-5620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "LEANN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND5744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.