Leigh Patricia Van Dusen, MS, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

3284 Issued in MA

Practice address

1492 Highland Ave Ste 4
Needham, MA 02492-2606

Phone

(646) 369-2255

NPI assigned

Jan 1, 2018

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Van Dusen Nutrition

  • Multi-Specialty Clinic/Center
  • Needham, MA
  • NPI 1952892788
  NPD (past) Authorized official

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514764800000",
    "number": "1518474477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE STE 4",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922606",
            "telephone_number": "646-369-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE STE 4",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922606",
            "telephone_number": "646-369-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUSEN",
        "first_name": "LEIGH",
        "middle_name": "PATRICIA",
        "credential": "MS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Urdaneta
• Sabrina Marie Urick
• Urology Practice Associates, Inc.
• Steven H Van Dam, MD
• Van Dusen Nutrition
• Alla Vaninov, RDH
• Paul J. Vankevich, DMD
• Fatima Marlene Vazquez
• Joli Irene Vega
• Vanessa Vega

• Nutritionist in Needham, MA
• Providers in Needham, MA by specialty
• Nutritionist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2018; 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.