Active NPI
Leah Grace Schock, RDN
- Registered Dietitian
- Milwaukee, WI
National Provider Identifier
1730996901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86331741
- Practice address
- 557 N 17TH St
Milwaukee, WI 53233-2718 - Phone
- (269) 339-9825
- NPI assigned
- Dec 11, 2024
- 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 | 86331741 | Primary |
Addresses
Primary practice location
557 N 17TH St
Milwaukee, WI 53233-2718
Mailing address
557 N 17TH St
Milwaukee, WI 53233-2718
Phone (269) 339-9825
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Loft Services LLC | Dietitian, Registered | Past | 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": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1730996901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 N 17TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332718",
"telephone_number": "269-339-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N 17TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532332718",
"telephone_number": "269-339-9825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOCK",
"first_name": "LEAH",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86331741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.