Active NPI
Hilary Leggio, RD
- Registered Dietitian
- Lake Charles, LA
National Provider Identifier
1104304567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3150
- Practice address
- 215 W Prien Lake Rd
Lake Charles, LA 70601-8450 - Phone
- (936) 332-8334
- Fax
- (337) 201-9883
- NPI assigned
- Jul 29, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT85082 | TX | |
| Registered Dietitian | 133V00000X | 3150 | LA | Primary |
Addresses
Primary practice location
215 W Prien Lake Rd
Lake Charles, LA 70601-8450
Mailing address
215 W Prien Lake Rd
Lake Charles, LA 70601-8450
Phone (936) 332-8334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104304567 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilary Peace Rd LLC | Current | Accepting new patients | |
| Mobile Medical Consultants, PLLC | Past | Accepting new patients |
Locations
215 W Prien Lake Rd
Lake Charles, LA 70601
Phone (337) 477-9019
Interoperability endpoints
- https://api.platform.athenahealth.com/15675/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Lake Charles, LA
- NPI 1770187023
-
- General Practice Physician
- Dallas, TX
- NPI 1346839859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1104304567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W PRIEN LAKE RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018450",
"telephone_number": "936-332-8334",
"fax_number": "337-201-9883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W PRIEN LAKE RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018450",
"telephone_number": "936-332-8334",
"fax_number": "337-201-9883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGGIO",
"first_name": "HILARY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-29",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT85082",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "3150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1104304567",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.