Lea Russell Shappee, RD, LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5398 Issued in FL

Practice address

10851 Mangrove Cay LN NE
Unit 912
St Petersburg, FL 33716-4212

Phone

(727) 822-6633

Fax

(727) 822-6616

NPI assigned

Oct 24, 2008

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

Other names 1

• Lea Russell Professional name

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1629221486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10851 MANGROVE CAY LN NE",
            "address_2": "UNIT 912",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337164212",
            "telephone_number": "727-822-6633",
            "fax_number": "727-822-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 MANGROVE CAY LN NE",
            "address_2": "UNIT 912",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337164212",
            "telephone_number": "727-822-6633",
            "fax_number": "727-822-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPPEE",
        "first_name": "LEA",
        "middle_name": "RUSSELL",
        "credential": "RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "5398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "RUSSELL",
            "credential": "RD/LD/N",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Matthew Shanklin, DPT
• Jane Shannon, ARNP
• Kalina Shannon, A.P.
• Shaping Behavior Together Consulting
• Corey Meredith Shapiro, ARNP
• James Shapter, RDN, LDN
• Shari a. Clark, LLC
• Rajiv Kumar Sharma, M.D.
• Eddie Lee Sharp Jr Jr.
• Merrily Shary, M.S

• Registered Dietitian in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.