Individual provider Active NPI

Pamela J Greenleaf, MS, RD, LD

  • Registered Dietitian
  • Hays, KS
National Provider Identifier
1790010262
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1437 Issued in KS
Practice address
205 E 7TH St Ste 215
Hays, KS 67601-4161
Phone
(785) 335-9107
Fax
(785) 536-6544
NPI assigned
Oct 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 1437 KS Primary

Addresses

Primary practice location

205 E 7TH St Ste 215
Hays, KS 67601-4161

Mailing address

2705 Woodrow CT
Hays, KS 67601-1618
Phone (785) 335-9107

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1437KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Greenleaf Nutrition Consulting LLC Dietitian, Registered CurrentSince Sep 8, 2024 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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1790010262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 WOODROW CT",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011618",
            "telephone_number": "785-335-9107",
            "fax_number": "785-536-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 7TH ST STE 215",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014161",
            "telephone_number": "785-335-9107",
            "fax_number": "785-536-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEAF",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.