Leslie L Langevin, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0740061847 Issued in VT

Practice address

302 Mountain View Dr Ste 101
Colchester, VT 05446-8081

Phone

(802) 999-9207

Fax

(802) 488-5704

NPI assigned

Dec 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 1, 2025 through Sep 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Peak Physical Therapy Sports and Performance Center, LLC

  • Physical Therapy Clinic/Center
  • South Burlington, VT
  • NPI 1184057143
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1487983243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MOUNTAIN VIEW DR STE 101",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468081",
            "telephone_number": "802-999-9207",
            "fax_number": "802-488-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MOUNTAIN VIEW DR STE 101",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468081",
            "telephone_number": "802-999-9207",
            "fax_number": "802-488-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEVIN",
        "first_name": "LESLIE",
        "middle_name": "L",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "0740061847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Lamantia, M.D.
• Nicholas Randle Lamothe, RPH
• Tori Duchesneau Lamphere, D.P.T
• Tracy G. Lamphere, MA, LADC
• Alan Landau, M.D.
• Kate Lashway, PTA
• Lauren Schnepf Counseling PLLC
• Suzanne Lawrence, PT
• Dustin Lea
• Karen McFeeters Leary, M.ED., CCC-SLP

• All providers in Colchester, VT
• Registered Dietitian in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.