Individual provider Active NPI

Alisha Dawn Leslie, MS, RD, LD

  • Registered Dietitian
  • Montgomery, TX
National Provider Identifier
1255114351
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT87962 Issued in TX
Practice address
669 Old Plantersville Rd
Montgomery, TX 77316-4471
Phone
(832) 691-5517
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 DT87962 TX Primary

Addresses

Primary practice location

669 Old Plantersville Rd
Montgomery, TX 77316-4471

Mailing address

669 Old Plantersville Rd
Montgomery, TX 77316-4471
Phone (832) 691-5517

Other practice location 1

18001 Highway 105 W Ste 109J
Montgomery, TX 77356-2881
Phone (832) 691-5517

Other names 1

  • Alisha Dawn Holdridge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515004478 TX Practitioner - Registered Dietitian Or Nutrition Professional 2163860255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT87962TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Nutrition LLC Dietitian, Registered CurrentSince Jul 1, 2025 Accepting new patients
Woodlands Family Nutrition Center LLC Dietitian, Registered CurrentSince Apr 9, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

2510 S Loop 336 W
Ste 215B
Conroe, TX 77304
Phone (936) 596-0445

945 Sgt Ed Holcomb Blvd S
Ste 46
Conroe, TX 77304
Phone (936) 596-0445

18001 Highway 105 W
Ste 109J
Montgomery, TX 77356
Phone (832) 691-5517

16915 Walden Rd
Ste 114
Montgomery, TX 77356
Phone (936) 978-0061

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1255114351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 OLD PLANTERSVILLE RD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773164471",
            "telephone_number": "832-691-5517",
            "fax_number": "346-703-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 OLD PLANTERSVILLE RD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773164471",
            "telephone_number": "832-691-5517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18001 Highway 105 W Ste 109J",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773562881",
            "country_code": "US",
            "telephone_number": "832-691-5517",
            "fax_number": "346-703-6118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "ALISHA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT87962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "HOLDRIDGE",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.