Active NPI
Leigh K Davenport, RD, LD
- Registered Dietitian
- Dover, NH
National Provider Identifier
1861696783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 423
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 423 | NH | MD | Clinical Psychologist |
| 941793 | NH | MD | Registered 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.