Individual provider Active NPI

Leah Madonna Malavite, RDN, LDN

  • Registered Dietitian
  • Greensburg, PA
National Provider Identifier
1861144743
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006910 Issued in PA
Practice address
423 Chestnut St
Greensburg, PA 15601-4021
Phone
(724) 972-2703
NPI assigned
Jan 22, 2022
Last updated
Jan 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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 DN006910 PA Primary

Addresses

Primary practice location

423 Chestnut St
Greensburg, PA 15601-4021

Mailing address

423 Chestnut St
Greensburg, PA 15601-4021
Phone (724) 972-2703

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dietary@williampenncc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220602001515 PA Practitioner - Registered Dietitian Or Nutrition Professional 3870971823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN006910PAMDRegistered Dietitian

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1861144743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CHESTNUT ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014021",
            "telephone_number": "724-972-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CHESTNUT ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014021",
            "telephone_number": "724-972-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVITE",
        "first_name": "LEAH",
        "middle_name": "MADONNA",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dietary@williampenncc.com",
            "affiliation": "N",
            "endpointDescription": "William Penn email",
            "address_1": "423 Chestnut St",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156014021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.