Active NPI
Tammy J Leeper, REGISTERED DIETITIAN
- Registered Dietitian
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4107 E Shannon St
Gilbert, AZ 85295-7740 - Phone
- (480) 390-2655
- NPI assigned
- Sep 13, 2019
- Last updated
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
4107 E Shannon St
Gilbert, AZ 85295-7740
Mailing address
4107 E Shannon St
Gilbert, AZ 85295-7740
Phone (480) 390-2655
Other practice location 1
4107 E Shannon St
Gilbert, AZ 85295-7740
Phone (480) 390-2655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andersons Nutrition | Dietitian, Registered | Current | Accepting new patients |
Locations
2470 S Val Vista Dr
Ste 104
Gilbert, AZ 85295
Phone (480) 802-0692
3820 W Happy Valley Rd
Ste 141
Glendale, AZ 85310
4700 S Mill Ave
Ste B7
Tempe, AZ 85282
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1225688013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 E SHANNON ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957740",
"telephone_number": "480-390-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 E SHANNON ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852957740",
"telephone_number": "480-390-2655"
}
],
"practiceLocations": [
{
"address_1": "4107 E Shannon St",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852957740",
"country_code": "US",
"telephone_number": "480-390-2655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEEPER",
"first_name": "TAMMY",
"middle_name": "J",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.