Individual provider Active NPI

Leah Tarleton, RDN, LDN

  • Registered Dietitian
  • Fryeburg, ME
National Provider Identifier
1639955685
Registry record updated Sep 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1449 Issued in NH
Practice address
317 Haley Town Rd
Fryeburg, ME 04037-1101
Phone
(603) 845-7471
NPI assigned
Sep 6, 2023
Last updated
Sep 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1449NHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nourishing NH, LLC Dietitian, Registered PastSince Jul 28, 2019 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

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.

Verify at the official NPI Registry.