Active NPI
Nicole Ann Leroy
- Registered Dietitian
- Northville, MI
National Provider Identifier
1265986459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 727212
- Practice address
- 984 Springfield CT
Northville, MI 48167-1030 - Phone
- (248) 821-9388
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 727212 | MI | Primary |
Addresses
Primary practice location
984 Springfield CT
Northville, MI 48167-1030
Mailing address
984 Springfield CT
Northville, MI 48167-1030
Phone (248) 821-9388
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 727212 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprout Healthy Habits, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1265986459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984 SPRINGFIELD CT",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671030",
"telephone_number": "248-821-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 SPRINGFIELD CT",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481671030",
"telephone_number": "248-821-9388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "NICOLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "727212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.