Norma Ponce de Leon, R.D., LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164005301 Issued in IL

Practice address

10628 W 154TH PL
Orland Park, IL 60462-6035

Phone

(773) 895-3214

NPI assigned

Jun 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1255713004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10628 W 154TH PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10628 W 154TH PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626035",
            "telephone_number": "773-895-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE DE LEON",
        "first_name": "NORMA",
        "credential": "R.D., LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164005301",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "164005301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Poetzinger
• Daniel Pohlman, M.D.
• Nina Polignone, LPC
• Margaret Polito, MHS, CCC-SLP/L
• Amanda Pollock, PA-C
• Benjamin Popp, DMD
• Anna Porcaro-Akan, CSW
• Matthew Allen Potter, LCPC
• Deborah Jean Poulos
• Lea Powers

• Registered Dietitian in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.