Lezlie Lorraine Sparks, RDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT01207 Issued in TX

Practice address

4001 W 15TH St Ste 335
Plano, TX 75093

Phone

(469) 835-5845

NPI assigned

Oct 3, 2016

Last updated

Sep 24, 2018By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1538618442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WEST MCDERMOTT",
            "address_2": "SUITE 116, PMB 272",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135426",
            "telephone_number": "469-835-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 335",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-835-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Coit Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750755024",
            "country_code": "US",
            "telephone_number": "469-467-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "LEZLIE",
        "middle_name": "LORRAINE",
        "credential": "RDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT01207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Plano, TX
• Providers in Plano, TX by specialty
• Registered Dietitian in Texas

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