Active NPI
Lesley Yvonne Jacobs-Keeler, RD
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1306248760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 7049
- Practice address
- 1120 E Twiggs St Unit 571
Tampa, FL 33602-3162 - Phone
- (813) 857-7752
- NPI assigned
- Sep 17, 2014
- 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 | 7049 | FL | Primary |
Addresses
Primary practice location
1120 E Twiggs St Unit 571
Tampa, FL 33602-3162
Mailing address
1120 E Twiggs St
Unit 571
Tampa, FL 33602-3104
Phone (813) 857-7752
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 |
|---|---|---|---|
| 7049 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1306248760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 E TWIGGS ST",
"address_2": "UNIT 571",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023104",
"telephone_number": "813-857-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E TWIGGS ST UNIT 571",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023162",
"telephone_number": "813-857-7752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS-KEELER",
"first_name": "LESLEY",
"middle_name": "YVONNE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "7049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.