Active NPI
Leianna Bussell, RD
- Registered Dietitian
- Carmel, IN
National Provider Identifier
1396455341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 90 Executive Dr Ste C
Carmel, IN 46032-2612 - Phone
- (317) 740-1970
- Fax
- (765) 630-7905
- NPI assigned
- Nov 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
90 Executive Dr Ste C
Carmel, IN 46032-2612
Mailing address
904 South St
Lafayette, IN 47901-1416
Phone (765) 630-7222
Other practice location 1
904 South St
Lafayette, IN 47901-1416
Phone (765) 630-7222
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roundtable Wellness | Dietitian, Registered | Current | Accepting new patients |
| Roundtable Wellness | Dietitian, Registered | Past | Accepting new patients |
| Carmel Therapy LLC | Past | Accepting new patients |
Locations
90 Executive Dr
Ste C
Carmel, IN 46032
Phone (317) 740-1970
904 South St
Lafayette, IN 47901
Phone (765) 630-7222
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Carmel, IN
- NPI 1023739067
Dietitian, Registered
-
- Mental Health Counselor
- Pendleton, IN
- NPI 1386345957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1396455341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 SOUTH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479011416",
"telephone_number": "765-630-7222",
"fax_number": "765-630-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 EXECUTIVE DR STE C",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322612",
"telephone_number": "317-740-1970",
"fax_number": "765-630-7905"
}
],
"practiceLocations": [
{
"address_1": "904 South St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479011416",
"country_code": "US",
"telephone_number": "765-630-7222",
"fax_number": "765-630-7905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSSELL",
"first_name": "LEIANNA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.