Individual provider Active NPI

Leanne Marie Ehlers-Anderson, R.D., L.D

  • Registered Dietitian
  • Lufkin, TX
National Provider Identifier
1902167075
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT82139 Issued in TX
Practice address
203 McAdams Dr
Lufkin, TX 75901-8708
Phone
(936) 414-0140
Fax
(936) 639-6130
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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 DT82139 TX Primary

Addresses

Primary practice location

203 McAdams Dr
Lufkin, TX 75901-8708

Mailing address

203 McAdams Dr
Lufkin, TX 75901-8708
Phone (936) 414-0140

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

State licenses

LicenseStateTypeSpecialty
DT82139TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1902167075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MCADAMS DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759018708",
            "telephone_number": "936-414-0140",
            "fax_number": "936-639-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MCADAMS DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759018708",
            "telephone_number": "936-414-0140",
            "fax_number": "936-639-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERS-ANDERSON",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "credential": "R.D., L.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT82139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.