Leah Winzen, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2017038856 Issued in MO

Practice address

1516 Carriage Bridge TRL
Ballwin, MO 63021-8427

Phone

(314) 882-0124

NPI assigned

Nov 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1528572260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 CARRIAGE BRIDGE TRL",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630218427",
            "telephone_number": "314-882-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 CARRIAGE BRIDGE TRL",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630218427",
            "telephone_number": "314-882-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINZEN",
        "first_name": "LEAH",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MO",
            "license": "2017038856",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MO",
            "license": "2017038856",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MO",
            "license": "2017038856",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2017038856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Page K Williams, RN
• Sarah Lyn Willis, RPH
• Jessica Elizabeth Willmann, PLPC
• Brandi Nicole Wilson, PLPC
• Kyle Winters
• Kelby Lynn Withrow, PA-C
• Wonderfully Made Pediatrics
• Shawn Kurt Woodard, D.C.
• Deanna Wright-Coffman, LCSW
• Melissa Wright, PLPC

• Registered Dietitian in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.