Individual provider Active NPI

Hilary Leggio, RD

  • Registered Dietitian
  • Lake Charles, LA
National Provider Identifier
1104304567
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3150 Issued in LA
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

Updated by the provider on Mar 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1104304567OtherNPI

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

OrganizationSpecialtyStatusNew patients
Hilary Peace Rd LLC CurrentSince Dec 2, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.