Leah Daywalt, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86032850 Issued in PA

Practice address

800 Maple Ave
Harleysville, PA 19438-1032

Phone

(215) 256-9501

NPI assigned

Oct 24, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1407367907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MORGAN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAPLE AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381032",
            "telephone_number": "215-256-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYWALT",
        "first_name": "LEAH",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86032850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Colucci
• Katie Marie Conicelli
• Corinne Michelle Coonahan, COTA
• Cynthia Croissette, LPN
• Adriana Cugini, OTR/L
• Jeanne Ragan Defrangesco, CRNP
• Natalie Dependahl, PT, DPT
• Natalie Derstine, DPT
• Ralph Lawrence Derstine, M.D.
• Erin C. Diehl, LPC

• Registered Dietitian in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.