Active NPI
Leslie Gaillard, RD
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1720243074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003806
- Practice address
- 156 Mine Lake CT
Raleigh, NC 27615-6417 - Phone
- (415) 606-7407
- Fax
- (919) 800-3641
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | L003806 | NC | Primary |
Addresses
Primary practice location
156 Mine Lake CT
Raleigh, NC 27615-6417
Mailing address
10300 Rocky Ford CT
Raleigh, NC 27614-8907
Phone (415) 606-7407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100719000072 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 9234261868 | Practice locations: Raleigh, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
156 Mine Lake CT
Suite 100
Raleigh, NC 27615-6417
Phone (919) 508-6107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leslie Gaillard | Dietitian, Registered | Current | Accepting new patients |
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": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1720243074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 ROCKY FORD CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276148907",
"telephone_number": "415-606-7407",
"fax_number": "919-800-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 MINE LAKE CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156417",
"telephone_number": "415-606-7407",
"fax_number": "919-800-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAILLARD",
"first_name": "LESLIE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.