Individual provider Active NPI

Julia Leigh Levine, M.S., R.D.

  • Registered Dietitian
  • San Clemente, CA
National Provider Identifier
1235172107
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
818986 Issued in CA
Practice address
3834 Vista Azul
San Clemente, CA 92672-4542
Phone
(310) 367-8190
Fax
(949) 492-9492
NPI assigned
Jun 14, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 818986 CA Primary

Addresses

Primary practice location

3834 Vista Azul
San Clemente, CA 92672-4542

Mailing address

3834 Vista Azul
San Clemente, CA 92672-4542
Phone (310) 367-8190

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
818986CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Nutrition Therapy, LLC Dietitian, Registered Past Accepting new patients

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1235172107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 VISTA AZUL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724542",
            "telephone_number": "310-367-8190",
            "fax_number": "949-492-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 VISTA AZUL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724542",
            "telephone_number": "310-367-8190",
            "fax_number": "949-492-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JULIA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "818986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.