Individual provider Active NPI

Leslie Spruill, RD, LD, MS

  • Registered Dietitian
  • Bessemer, AL
National Provider Identifier
1235722471
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3193 Issued in AL
Practice address
995 9TH Ave SW
Bessemer, AL 35022-4527
Phone
(205) 481-7183
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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 3193 AL Primary

Addresses

Primary practice location

995 9TH Ave SW
Bessemer, AL 35022-4527

Mailing address

995 9TH Ave SW
Bessemer, AL 35022-4527
Phone (205) 481-7183

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MEDITECH

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3193ALMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1235722471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 9TH AVE SW",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224527",
            "telephone_number": "205-481-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 9TH AVE SW",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224527",
            "telephone_number": "205-481-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUILL",
        "first_name": "LESLIE",
        "name_prefix": "Miss",
        "credential": "RD, LD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MEDITECH",
            "affiliation": "N",
            "address_1": "995 9th Ave SW",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350224527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.