Active NPI
Leeza Woodbury
- Registered Dietitian
- Discovery Bay, CA
National Provider Identifier
1609519305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1717 Wilde Dr
Discovery Bay, CA 94505-2641 - Phone
- (310) 488-3244
- NPI assigned
- Apr 19, 2022
- Last updated
- Apr 19, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
1717 Wilde Dr
Discovery Bay, CA 94505-2641
Mailing address
1717 Wilde Dr
Discovery Bay, CA 94505-2641
Phone (310) 488-3244
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | leezawoodburyrd@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1609519305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 WILDE DR",
"city": "DISCOVERY BAY",
"state": "CA",
"postal_code": "945052641",
"telephone_number": "310-488-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 WILDE DR",
"city": "DISCOVERY BAY",
"state": "CA",
"postal_code": "945052641",
"telephone_number": "310-488-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODBURY",
"first_name": "LEEZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "leezawoodburyrd@gmail.com",
"affiliation": "N",
"endpointDescription": "gmail",
"address_1": "1717 Wilde Dr",
"city": "Discovery Bay",
"state": "CA",
"country_code": "US",
"postal_code": "945052641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Discovery Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.