Leigh B Pickard, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1161 Issued in MS

Practice address

1850 Chadwick Dr
Jackson, MS 39204-3404

Phone

(601) 373-1793

Fax

(601) 376-1466

NPI assigned

Feb 14, 2007

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Clarksdale Hma LLC

  dba Clarksdale Phys Serv Anesthesia CRNA

  • Anesthesiology Physician
  • Clarksdale, MS
  • NPI 1386679744
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1720121627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE",
            "address_2": "SUITE 2F",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146217",
            "telephone_number": "662-621-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "601-373-1793",
            "fax_number": "601-376-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "LEIGH",
        "middle_name": "B",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720121627",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy First LLC (McColumn Physical Therapy)
• Physicians Anesthesia Group Staffing, LLC
• Physicians Anesthesia Group, P.a.
• Carlee Ryann Piatt
• Anne D Piazza, LPC, NCC, NCSC, RTC
• Trevor Reed Pickering, M.D.
• Lana Pickett
• Victor M Pickett
• Emily Pickich, MD
• John R Pieklik, M.D.

• Registered Dietitian in Jackson, MS
• Providers in Jackson, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.