Active NPI
Leighanne Collier, RD LD
- Renal Nutrition Registered Dietitian
- Cape Girardeau, MO
National Provider Identifier
1518262146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 2008008963
- Practice address
- 910 Rodney Vista Blvd
Cape Girardeau, MO 63701-4351 - Phone
- (573) 576-3255
- NPI assigned
- Jan 12, 2011
- Last updated
- Mar 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2008008963 | MO | MD | Renal 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.