Active NPI
Leah Tarleton, RDN, LDN
- Registered Dietitian
- Fryeburg, ME
National Provider Identifier
1639955685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1449
- Practice address
- 317 Haley Town Rd
Fryeburg, ME 04037-1101 - Phone
- (603) 845-7471
- NPI assigned
- Sep 6, 2023
- Last updated
- Sep 9, 2023
- 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 | 1449 | NH | Primary |
Addresses
Primary practice location
317 Haley Town Rd
Fryeburg, ME 04037-1101
Mailing address
120 N South Rd
Unit C #227
North Conway, NH 03860
Phone (603) 845-7471
Other practice location 1
64 Kearsarge Rd
North Conway, NH 03860
Phone (781) 254-4230
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1449 | NH | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourishing NH, LLC | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694217600000",
"number": "1639955685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N SOUTH RD",
"address_2": "UNIT C #227",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "03860",
"telephone_number": "603-845-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 HALEY TOWN RD",
"city": "FRYEBURG",
"state": "ME",
"postal_code": "040371101",
"telephone_number": "603-845-7471"
}
],
"practiceLocations": [
{
"address_1": "64 Kearsarge Rd",
"address_purpose": "LOCATION",
"city": "North Conway",
"state": "NH",
"postal_code": "03860",
"country_code": "US",
"telephone_number": "781-254-4230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARLETON",
"first_name": "LEAH",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-09",
"certification_date": "2023-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "1449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fryeburg, ME
- Rite Aid of Maine Inc (Rite Aid Pharmacy 04162)
- Farrah Ross, DMD
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc. (Saco Bay Orthopaedic Sports & Physical Therapy)
- Kortnie Leigh Sanchez
- Mellanie M Smith, FMCHC
- Two Caps Vocational Services
- Jonathan Violette, R.PH.
- Walgreen Eastern Co Inc (Walgreens #18403)
- William W Dreyerdmd PA
- Allison Ann Wolfe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.