Leah Jerene Kriewall, M.S., R.D., L.D

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

775 Issued in OR

Practice address

725 S Wahanna Rd
Nutrition Services Providence Seaside Hospital
Seaside, OR 97138-7735

Phone

(503) 717-7290

NPI assigned

Jun 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Leah Jerene Beitlich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144424151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S WAHANNA RD",
            "address_2": "NUTRITION SERVICES PROVIDENCE SEASIDE HOSPITAL",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387735",
            "telephone_number": "503-717-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S WAHANNA RD",
            "address_2": "NUTRITION SERVICES PROVIDENCE SEASIDE HOSPITAL",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387735",
            "telephone_number": "503-717-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEWALL",
        "first_name": "LEAH",
        "middle_name": "JERENE",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., L.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "BEITLICH",
            "middle_name": "JERENE",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Keller
• Sally Kelly
• Andrea M. Kielich, MD
• Vetalise Cheofor Konje, PHARMD
• Patricia Ann Kopecky, RPH
• Danika Kusuma, PHARM D
• Mary Ellen Langston, PHD,LPC,NCC,CADCIII
• Linda Louise Lawson
• Samantha Clark Leadbetter, MD
• Camille Leavitt

• Registered Dietitian in Seaside, OR
• Providers in Seaside, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.