Individual provider Active NPI

Christie Donnette Leighton, RD

  • Registered Dietitian
  • Warner, NH
National Provider Identifier
1477673168
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
475 Issued in NH
Practice address
175 Newmarket Rd
Warner, NH 03278-4108
Phone
(603) 494-2622
NPI assigned
Mar 29, 2007
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 475 NH Primary

Addresses

Primary practice location

175 Newmarket Rd
Warner, NH 03278-4108

Mailing address

175 Newmarket Rd
Warner, NH 03278-4108
Phone (603) 494-2622

Other names 1

  • Christie Donnette Bundrick Former name

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
475NHMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1477673168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NEWMARKET RD",
            "city": "WARNER",
            "state": "NH",
            "postal_code": "032784108",
            "telephone_number": "603-494-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NEWMARKET RD",
            "city": "WARNER",
            "state": "NH",
            "postal_code": "032784108",
            "telephone_number": "603-494-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHTON",
        "first_name": "CHRISTIE",
        "middle_name": "DONNETTE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "BUNDRICK",
            "middle_name": "DONNETTE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.