Individual provider Active NPI

Suzanne Legleiter, RN, MSN, CDE

  • Nutrition Education Nutritionist
  • Phoenix, AZ
National Provider Identifier
1891940672
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
RN077222 Issued in AZ
Practice address
2302 N 75TH Ave
Phoenix, AZ 85035-1216
Phone
(623) 849-7500
Fax
(623) 849-7543
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X RN077222 AZ Primary

Addresses

Primary practice location

2302 N 75TH Ave
Phoenix, AZ 85035-1216

Mailing address

11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757
Phone (602) 942-4462

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN077222AZMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1891940672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 N BLACK CANYON HWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294757",
            "telephone_number": "602-942-4462",
            "fax_number": "602-371-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N 75TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351216",
            "telephone_number": "623-849-7500",
            "fax_number": "623-849-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGLEITER",
        "first_name": "SUZANNE",
        "credential": "RN, MSN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "AZ",
            "license": "RN077222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.