Active NPI
Leigh Anne Boykin I, R.D.
- Registered Dietitian
- Memphis, TN
National Provider Identifier
1700999307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0000001565
- Practice address
- 1030 Jefferson Ave
Nutrition and Food Service 120
Memphis, TN 38104-2127 - Phone
- (901) 523-8990
- NPI assigned
- Aug 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LDN0000001565 | TN | Primary |
Addresses
Primary practice location
1030 Jefferson Ave
Nutrition and Food Service 120
Memphis, TN 38104-2127
Mailing address
1347 Broadstone CV
Cordova, TN 38016-4960
Phone (901) 309-5792
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LDN0000001565 | Other | TN | LICENSED DIETITIAN/NUTRIT |
| 884172 | Other | CDR REGISTRATION |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0000001565 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700999307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 BROADSTONE CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380164960",
"telephone_number": "901-309-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 JEFFERSON AVE",
"address_2": "NUTRITION AND FOOD SERVICE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042127",
"telephone_number": "901-523-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYKIN",
"first_name": "LEIGH",
"middle_name": "ANNE",
"name_prefix": "Miss",
"name_suffix": "I",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN0000001565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN/NUTRIT",
"identifier": "LDN0000001565",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR REGISTRATION",
"identifier": "884172",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.