Active NPI
Leah C McDaniel, RD, LD, CDE
- Registered Dietitian
- Colleyville, TX
National Provider Identifier
1336267954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00822
- Practice address
- 5009 Thompson Ter
Suite 101
Colleyville, TX 76034-5850 - Phone
- (817) 485-0384
- Fax
- (817) 485-0384
- NPI assigned
- Mar 26, 2007
- 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 | 00822 | TX | Primary |
Addresses
Primary practice location
5009 Thompson Ter
Suite 101
Colleyville, TX 76034-5850
Mailing address
3609 Cliffwood Dr
Colleyville, TX 76034-8652
Phone (817) 485-0384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090903000758 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 3274688700 | Practice locations: Colleyville, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5009 Thompson Ter
Suite 101
Colleyville, TX 76034-5850
Phone (817) 485-0384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00822 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336267954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 CLIFFWOOD DR",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760348652",
"telephone_number": "817-485-0384",
"fax_number": "817-485-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 THOMPSON TER",
"address_2": "SUITE 101",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760345850",
"telephone_number": "817-485-0384",
"fax_number": "817-485-0384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "LEAH",
"middle_name": "C",
"credential": "RD, LD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "00822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.