Organization Active NPI

Lesash Nutrition & Health, LLC

  • Nutrition Education Nutritionist
  • Staten Island, NY
National Provider Identifier
1699009662
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
003629-1 Issued in NY
Legal business name
LESASH NUTRITION & HEALTH, LLC
Practice address
256 Skyline Dr
Staten Island, NY 10304-4770
Phone
(347) 242-9804
Fax
(718) 981-4580
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Ms. Jennilyn Jackman Baptiste, RD, CDN
Title
Owner
Phone
(347) 242-9804

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X 003629-1 NY
Nutrition Education NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133NN1002X 003629-1 NY Primary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X 003629-1 NY

Addresses

Primary practice location

256 Skyline Dr
Staten Island, NY 10304-4770

Mailing address

PO Box 320648
Brooklyn, NY 11232-0648
Phone (347) 242-9804

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1699009662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320648",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112320648",
            "telephone_number": "347-242-9804",
            "fax_number": "718-981-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SKYLINE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044770",
            "telephone_number": "347-242-9804",
            "fax_number": "718-981-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESASH NUTRITION & HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "BAPTISTE",
        "authorized_official_first_name": "JENNILYN",
        "authorized_official_middle_name": "JACKMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-242-9804",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, CDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "003629-1",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "003629-1",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "003629-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.