Individual provider Active NPI

Leigh K Davenport, RD, LD

  • Registered Dietitian
  • Dover, NH
National Provider Identifier
1861696783
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
423 Issued in NH
Practice address
10 Members Way Ste 400
Dover, NH 03820-5933
Phone
(603) 740-2887
Fax
(603) 740-2886
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 941793 NH
Registered Dietitian 133V00000X 423 NH Primary

Addresses

Primary practice location

10 Members Way Ste 400
Dover, NH 03820-5933

Mailing address

789 Central Avenue
Business Office
Dover, NH 03820-2526
Phone (603) 740-4478

Other practice location 1

789 Central Avenue
Dover, NH 03820-2526
Phone (603) 740-2647

Other practice location 2

67 Corporate Dr Ste 300
Portsmouth, NH 03801-2847
Phone (603) 610-8079

Other names 1

  • Leigh K Lagrange Former name

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

State licenses

LicenseStateTypeSpecialty
423NHMDClinical Psychologist
941793NHMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1861696783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVENUE",
            "address_2": "BUSINESS OFFICE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-4478",
            "fax_number": "603-740-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY STE 400",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-740-2887",
            "fax_number": "603-740-2886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-740-2647",
            "fax_number": "603-740-2487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Corporate Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038012847",
            "country_code": "US",
            "telephone_number": "603-610-8079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "LEIGH",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "941793",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "LAGRANGE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.