Individual provider Active NPI

Sidneigh O'Leary

  • Registered Dietitian
  • Des Moines, IA
National Provider Identifier
1669294682
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
121752 Issued in IA
Practice address
5901 Thornton Ave
Des Moines, IA 50321-2422
Phone
(515) 327-2000
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 121752 IA Primary

Addresses

Primary practice location

5901 Thornton Ave
Des Moines, IA 50321-2422

Mailing address

5901 Thornton Ave
Des Moines, IA 50321-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223003400 IA Practitioner - Registered Dietitian Or Nutrition Professional 9537654868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1316 S Main St
Clarion, IA 50525-2019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121752IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Belmond Community Hospital CurrentSince Oct 1, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Oct 1, 2025 Accepting new patients
Belmond Community Hospital Past Accepting new patients
Iowa Specialty Hospital- Clarion Past Accepting new patients
Iowa Specialty Hospital- Clarion PastSince Nov 3, 2024 Accepting new patients

Locations

1111 Duff Ave
Ste 2607
Ames, IA 50010
Phone (515) 327-2000

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

5901 Thornton Ave
Ste 101
Des Moines, IA 50321
Phone (515) 327-2000

5901 Thornton Ave
Des Moines, IA 50321
Phone (515) 327-2000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1669294682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 THORNTON AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 THORNTON AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212422",
            "telephone_number": "515-327-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "SIDNEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "121752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.