Individual provider Active NPI

Leighanne Collier, RD LD

  • Renal Nutrition Registered Dietitian
  • Cape Girardeau, MO
National Provider Identifier
1518262146
Registry record updated Mar 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
2008008963 Issued in MO
Practice address
910 Rodney Vista Blvd
Cape Girardeau, MO 63701-4351
Phone
(573) 576-3255
NPI assigned
Jan 12, 2011
Last updated
Mar 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 2008008963 MO
Registered Dietitian 133V00000X 2008008963 MO
Renal Nutrition Registered Dietitian 133VN1005X 2008008963 MO Primary
Metabolic Nutrition Registered Dietitian 133VN1006X 2008008963 MO

Addresses

Primary practice location

910 Rodney Vista Blvd
Cape Girardeau, MO 63701-4351

Mailing address

910 Rodney Vista Blvd
Cape Girardeau, MO 63701-4351
Phone (573) 576-3255

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
2008008963MOMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364083200000",
    "number": "1518262146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 RODNEY VISTA BLVD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014351",
            "telephone_number": "573-576-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 RODNEY VISTA BLVD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014351",
            "telephone_number": "573-576-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "LEIGHANNE",
        "name_prefix": "Mrs.",
        "credential": "RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2013-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MO",
            "license": "2008008963",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2008008963",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MO",
            "license": "2008008963",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MO",
            "license": "2008008963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; 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.