Individual provider Active NPI

Allison Nicole Lesko, RD, LD

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1417513334
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86041656 Issued in MO
Practice address
12134 Trentmore PL
Saint Louis, MO 63127-1407
Phone
(314) 306-6837
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 86041656 MO
Metabolic Nutrition Registered Dietitian 133VN1006X 86041656 MO
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 86041656 MO Primary

Addresses

Primary practice location

12134 Trentmore PL
Saint Louis, MO 63127-1407

Mailing address

12134 Trentmore PL
Saint Louis, MO 63127-1407
Phone (314) 306-6837

Other practice location 1

941 Midland Blvd
University City, MO 63130-3038
Phone (314) 306-6837

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

LicenseStateTypeSpecialty
86041656MOMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1417513334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12134 TRENTMORE PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271407",
            "telephone_number": "314-306-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12134 TRENTMORE PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271407",
            "telephone_number": "314-306-6837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "941 Midland Blvd",
            "address_purpose": "LOCATION",
            "city": "University City",
            "state": "MO",
            "postal_code": "631303038",
            "country_code": "US",
            "telephone_number": "314-306-6837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESKO",
        "first_name": "ALLISON",
        "middle_name": "NICOLE",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MO",
            "license": "86041656",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MO",
            "license": "86041656",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "86041656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.