Active NPI
Richelle R. Leibold, R.D./L.D.
- Registered Dietitian
- Moore, OK
National Provider Identifier
1346538899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD773
- Practice address
- 2701 E Hills Dr
Moore, OK 73160-9542 - Phone
- (405) 799-9631
- NPI assigned
- Jul 19, 2011
- 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 | LD773 | OK | Primary |
Addresses
Primary practice location
2701 E Hills Dr
Moore, OK 73160-9542
Mailing address
2701 E Hills Dr
Moore, OK 73160
Phone (405) 831-7426
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 |
|---|---|---|---|
| LD773 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1346538899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 E HILLS DR",
"city": "MOORE",
"state": "OK",
"postal_code": "73160",
"telephone_number": "405-831-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 E HILLS DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731609542",
"telephone_number": "405-799-9631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBOLD",
"first_name": "RICHELLE",
"middle_name": "R.",
"credential": "R.D./L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "LD773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.