Leah Elizabeth Roberts, REGISTERED DIETITIAN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5566 Issued in FL

Practice address

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081

Phone

(301) 677-8513

Fax

(850) 729-9462

NPI assigned

Jul 22, 2009

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

Other names 1

• Mrs. Leah Elizabeth Naylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1376773564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8513",
            "fax_number": "850-729-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LEAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "NAYLOR",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "RD, CDE, CSSD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Thomas Reeves, M.D., M.P.H.
• Denise M Richardson, M.D.
• Ronnie Lee Richardson
• Forrest Alton Riddle Jr., M.D.
• Anthony Michael Rizzo, M.D.
• Aaron Rodriguez, PA
• Sandra M. Rolph, NP-C
• Erica Rosen, LCSW-C
• Ernest Rutilio Rotili, M.D.
• Thomas Ryder

• Registered Dietitian in Fort George G Meade, MD
• Providers in Fort George G Meade, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.