Individual provider Active NPI

Leslie Gardzina, RD, CD, CDE

  • Registered Dietitian
  • Saint Albans, VT
National Provider Identifier
1265756209
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0740000192 Issued in VT
Practice address
133 Fairfield St
Saint Albans, VT 05478-1726
Phone
(802) 524-5911
NPI assigned
Mar 19, 2010
Last updated
Mar 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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 0740000192 VT Primary

Addresses

Primary practice location

133 Fairfield St
Saint Albans, VT 05478-1726

Mailing address

260 Crest Rd
Suite 205
Saint Albans, VT 05478-9503
Phone (802) 524-8848

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

State licenses

LicenseStateTypeSpecialty
0740000192VTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc. Current Accepting new patients
Northwestern Medical Center, Inc. Past Accepting new patients

Locations

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

Interoperability endpoints

  • Direct secure messaging: leslie.gardzina@nmc.medalliesdirect.net

Organizations & group practices 2

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1265756209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CREST RD",
            "address_2": "SUITE 205",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789503",
            "telephone_number": "802-524-8848",
            "fax_number": "802-524-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FAIRFIELD ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781726",
            "telephone_number": "802-524-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDZINA",
        "first_name": "LESLIE",
        "credential": "RD, CD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "0740000192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.