Active NPI
Leah C Beaird, MS, RD
- Renal Nutrition Registered Dietitian
- Tempe, AZ
National Provider Identifier
1346277688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 940672
- Practice address
- 2141 E Warner Rd
Suite 101
Tempe, AZ 85284-3493 - Phone
- (480) 969-8714
- Fax
- (480) 464-0189
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 940672 | IL | Primary |
Addresses
Primary practice location
2141 E Warner Rd
Suite 101
Tempe, AZ 85284-3493
Mailing address
2149 E Warner Rd
Suite 101
Tempe, AZ 85284-3494
Phone (480) 610-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104609 | Medicaid | AZ |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 940672 | IL | MD | Renal Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Kidney Institute, PLC | 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.
-
- Nephrology Physician
- Tempe, AZ
- NPI 1659316008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1346277688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 E WARNER RD",
"address_2": "SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843494",
"telephone_number": "480-610-6100",
"fax_number": "480-610-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 E WARNER RD",
"address_2": "SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852843493",
"telephone_number": "480-969-8714",
"fax_number": "480-464-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAIRD",
"first_name": "LEAH",
"middle_name": "C",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IL",
"license": "940672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104609",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.