Active NPI
Leeanne Chittom McDonald, MS, RD, LDN
- Registered Dietitian
- Memphis, TN
National Provider Identifier
1447887435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1201
- Practice address
- Ulps Surgery, 2ND Floor
50 N. Dunlap
Memphis, TN 38105 - Phone
- (901) 287-7337
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 1201 | TN | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 1201 | TN | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 1201 | TN | |
| Pediatric Critical Care Nutrition Registered Dietitian | 133VN1401X | 1201 | TN | |
| Registered Dietitian | 133V00000X | 1201 | TN | Primary |
Addresses
Primary practice location
Ulps Surgery, 2ND Floor
50 N. Dunlap
Memphis, TN 38105
Mailing address
Faculty Office BLDG, 2ND Floor Suite 249
49 N. Dunlap
Memphis, TN 38105
Phone (901) 287-5581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1201 | Other | TN | TN LICESNURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cerner | Health Information Exchange (HIE) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1447887435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FACULTY OFFICE BLDG, 2ND FLOOR SUITE 249",
"address_2": "49 N. DUNLAP",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105",
"telephone_number": "901-287-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ULPS SURGERY, 2ND FLOOR",
"address_2": "50 N. DUNLAP",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105",
"telephone_number": "901-287-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "LEEANNE",
"middle_name": "CHITTOM",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "TN",
"license": "1201",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "TN",
"license": "1201",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "TN",
"license": "1201",
"primary": false
},
{
"code": "133VN1401X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
"state": "TN",
"license": "1201",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "1201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN LICESNURE",
"identifier": "1201",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cerner",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "ULPS Surgery, 2nd floor",
"address_2": "50 N. Dunlap",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "38105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.