Leslene Gordon, RD,PHD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND1293 Issued in FL

Practice address

24754 State Road 54 Unit 102
Lutz, FL 33559-6200

Phone

(813) 504-6581

NPI assigned

Aug 1, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• BSH Health PA

  • Registered Dietitian
  • New York, NY
  • NPI 1679303465

  Dietitian, Registered, FL

  Medicare reassignment NPD
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249084800000",
    "number": "1124259684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 CANDLESTICK CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593352",
            "telephone_number": "813-949-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24754 STATE ROAD 54 UNIT 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596200",
            "telephone_number": "813-504-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LESLENE",
        "name_prefix": "Dr.",
        "credential": "RD,PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-01",
        "last_updated": "2009-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alise M Gonzalez
• Ariatna Mayren Gonzalez, RMHCI
• Hope Tunnicliffe Gonzalez, PH.D., NCSP
• Nicholas Matthew Gonzalez, COTA
• Rachel Gonzalez
• Moya Brittania Gordon
• Natalie Gordon, LCSW
• Altinai Gorrity, DDS
• Julie Marie Gorski
• Rama Rai Gosine, CRNA

• Registered Dietitian in Lutz, FL
• Providers in Lutz, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.