Lea Michelle Seals, MS, RD, LD, CSP

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

5395 Issued in OH

Practice address

518 Main St
Brookville, IN 47012-1408

Phone

(513) 310-0533

NPI assigned

Apr 19, 2018

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

• Ms. Lea Michelle Bischoff Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2018.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1083101547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13159 ROEMER RD",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470129531",
            "telephone_number": "513-310-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 MAIN ST",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470121408",
            "telephone_number": "513-310-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALS",
        "first_name": "LEA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD, CSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OH",
            "license": "5395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "BISCHOFF",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine E Romani, FNP
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• Safer Birth Foundation
• Brett Schrank, OD
• Erika Scott, LCSW, LISW
• Stacy M Siefert, FNP
• Amanda Smith, DT
• Ashley Renee Sparks
• Mackenzie Speers
• Leslie Stang

• All providers in Brookville, IN
• Pediatric Nutrition Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.