Individual provider Active NPI

Dru Jean Ledder, M.S.

  • Registered Dietitian
  • Fort Collins, CO
National Provider Identifier
1497922355
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
717581
Practice address
3027 Lucinda CT
Fort Collins, CO 80526-6235
Phone
(970) 204-9084
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2008

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 717581 Primary

Addresses

Primary practice location

3027 Lucinda CT
Fort Collins, CO 80526-6235

Mailing address

3027 Lucinda CT
Fort Collins, CO 80526-6235
Phone (970) 204-9084

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1497922355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 LUCINDA CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266235",
            "telephone_number": "970-204-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 LUCINDA CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266235",
            "telephone_number": "970-204-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDDER",
        "first_name": "DRU",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "717581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.