Active NPI
Patricia Anne Marie Leonard, R.D.
- Registered Dietitian
- Pismo Beach, CA
National Provider Identifier
1538341813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 994928
- Practice address
- 246 Effie Way
Home
Pismo Beach, CA 93449-3259 - Phone
- (805) 904-9782
- NPI assigned
- Nov 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 994928 | CA | Primary |
Addresses
Primary practice location
246 Effie Way
Home
Pismo Beach, CA 93449-3259
Mailing address
PO Box 1914
Pismo Beach, CA 93448-1914
Phone (805) 904-9782
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 |
|---|---|---|---|
| 994928 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Action | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1538341813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1914",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934481914",
"telephone_number": "805-904-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 EFFIE WAY",
"address_2": "HOME",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934493259",
"telephone_number": "805-904-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "PATRICIA",
"middle_name": "ANNE MARIE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "994928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.