Active NPI
Tracy Lesht, RD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1053009712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.007887
- Practice address
- 1126 Salina St
Austin, TX 78702-2730 - Phone
- (602) 607-0219
- NPI assigned
- Apr 28, 2023
- 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 | 164.007887 | IL | Primary |
Addresses
Primary practice location
1126 Salina St
Austin, TX 78702-2730
Mailing address
1660 N Hudson Ave Apt 2D
Chicago, IL 60614-5663
Phone (847) 903-0716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA, WI, IL, ME
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240326001364 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 0749627172 | |
| I20240916001882 | GA | Practitioner - Registered Dietitian Or Nutrition Professional | 0749627172 | |
| I20250423003790 | WI | Practitioner - Registered Dietitian Or Nutrition Professional | 0749627172 | |
| I20250424002143 | IL | Practitioner - Registered Dietitian Or Nutrition Professional | 0749627172 | |
| I20250514000326 | ME | Practitioner - Registered Dietitian Or Nutrition Professional | 0749627172 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.007887 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1053009712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 N HUDSON AVE APT 2D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145663",
"telephone_number": "847-903-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 SALINA ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022730",
"telephone_number": "602-607-0219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESHT",
"first_name": "TRACY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.007887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.