Department of Veterans Affairs Medical Center

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L002657 Issued in NC

Legal business name

DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(910) 488-2120

Fax

(910) 482-5186

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Tomeka Leslie, MS, LDN, RD

Title

Dietitian

Phone

(910) 488-2120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1417916347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120",
            "fax_number": "910-482-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "TOMEKA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "910-488-2120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LDN, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diandra Dennis
• Kelly Riley Dennis, APRN FNP-BC
• Stacey Katherine Dennis, MSW, LCSW
• Bradley Norman Dent, LCSW
• Osmani Deochand, M.D.
• Crystal Depietro, MSW, LCSW-A, CCM
• Laurinda P Depina
• James A Depree
• Fortuna Derival
• Nitinchandra Dahyabhai Desai, MD

• Registered Dietitian in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.