Individual provider Active NPI

Leigh-Ann Gardner Bamberg, MS, RDN, LD, CEDS-S

  • Registered Dietitian
  • Alabaster, AL
National Provider Identifier
1467203786
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2547 Issued in AL
Practice address
236 Norwick Forest Dr
Alabaster, AL 35007-8403
Phone
(334) 412-0917
NPI assigned
Mar 27, 2024
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2547 AL Primary

Addresses

Primary practice location

236 Norwick Forest Dr
Alabaster, AL 35007-8403

Mailing address

236 Norwick Forest Dr
Alabaster, AL 35007-8403
Phone (334) 412-0917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401001248 TX Practitioner - Registered Dietitian Or Nutrition Professional 7719325422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Abundantly More Nutrition LLC Dietitian, Registered CurrentSince Jul 13, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince Mar 27, 2024 Accepting new patients

Locations

515 S Flower St
#1015
Los Angeles, CA 90071

250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

10260 SW Greenburg Rd
Tigard, OR 97223
Phone (281) 940-9161

1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1467203786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 NORWICK FOREST DR",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078403",
            "telephone_number": "334-412-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 NORWICK FOREST DR",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078403",
            "telephone_number": "334-412-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBERG",
        "first_name": "LEIGH-ANN",
        "middle_name": "GARDNER",
        "credential": "MS, RDN, LD, CEDS-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.