Individual provider Active NPI

Leslie Sutton McNally, RD

  • Registered Dietitian
  • North Little Rock, AR
National Provider Identifier
1700099397
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000991082 Issued in AR
Practice address
12010 Timber Creek Rd
North Little Rock, AR 72118-1725
Phone
(501) 529-0508
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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 000991082 AR Primary

Addresses

Primary practice location

12010 Timber Creek Rd
North Little Rock, AR 72118-1725

Mailing address

12010 Timber Creek Rd
North Little Rock, AR 72118-1725
Phone (501) 529-0508

Other identifiers 1

IdentifierTypeStateIssuer
000991082OtherARLICENSE

Other names 1

  • Leslie Ann Sutton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000482 AR Practitioner - Registered Dietitian Or Nutrition Professional 2062598493 Reassigns benefits to 1 organization
Practice locations: North Little Rock, AR

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12010 Timber Creek Rd
North Little Rock, AR 72118-1725
Phone (501) 529-0508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000991082ARMDRegistered Dietitian
1009ARMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
LSM-Newtrition P.L.C. Dietitian, Registered CurrentSince Apr 28, 2020 Accepting new patients

Locations

10001 Lile Dr
Little Rock, AR 72205
Phone (501) 227-8000

2215 Wildwood Ave
Ste 208
Sherwood, AR 72120
Phone (501) 552-7570

Organizations & group practices 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1700099397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 TIMBER CREEK RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181725",
            "telephone_number": "501-529-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 TIMBER CREEK RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181725",
            "telephone_number": "501-529-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "LESLIE",
        "middle_name": "SUTTON",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "000991082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "000991082",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SUTTON",
            "middle_name": "ANN",
            "credential": "MSRDLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.