Organization Active NPI

Leslie Van Horn Nutrition LLC

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1871263863
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LESLIE VAN HORN NUTRITION LLC
Practice address
7722 Quail Park Dr
Charlotte, NC 28210-6928
Phone
(980) 292-1305
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Dr. Leslie T Van Horn, DCN, RDN, LDN, FANDNPI 1811502081
Title
Registered Dietitian Nutritionist
Phone
(980) 292-1305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

7722 Quail Park Dr
Charlotte, NC 28210-6928

Mailing address

7722 Quail Park Dr
Charlotte, NC 28210-6928
Phone (843) 421-0134

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1871263863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 QUAIL PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106928",
            "telephone_number": "843-421-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7722 QUAIL PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282106928",
            "telephone_number": "980-292-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE VAN HORN NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "980-292-1305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DCN, RDN, LDN, FAND"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.