Leslie J Rusch-Bayer

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164006145 Issued in IL

Practice address

6708 N Knoxville Ave
Suite 1
Peoria, IL 61614-2862

Phone

(309) 692-6838

Fax

(309) 691-6858

NPI assigned

Mar 12, 2014

Last updated

Mar 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1336565563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 N KNOXVILLE AVE",
            "address_2": "SUITE 1",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142862",
            "telephone_number": "309-692-6838",
            "fax_number": "309-691-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 N KNOXVILLE AVE",
            "address_2": "SUITE 1",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142862",
            "telephone_number": "309-692-6838",
            "fax_number": "309-691-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCH-BAYER",
        "first_name": "LESLIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164006145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Rumple
• Jennifer Lynn Runyon, MSN, APN
• Leanne Runyon
• Katelyn Rupert, CRNA
• Nancy Catherine Rupert, MA, CCC-SLP
• Sara Rusch, MD
• Andrew Ryne Rush, LSW
• Oswarld Niyiduha Irakunda Rusibamayila
• Angelica Rusilowski, DO, MPH
• Lauren Ashley Rusk, MS, RD, LDN

• Registered Dietitian in Peoria, IL
• Providers in Peoria, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.