Kelly Kay Leonard, M.S., R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

949745 Issued in CO

Practice address

303 Glenview CT
Longmont, CO 80501-5214

Phone

(720) 837-5240

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 29, 2016 through Jun 29, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthful Living LLC

  dba Peak Nutrition Works LLC

  • Registered Dietitian
  • Longmont, CO
  • NPI 1053464453

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902917529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GLENVIEW CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015214",
            "telephone_number": "720-837-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GLENVIEW CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805015214",
            "telephone_number": "720-837-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "KELLY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "949745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luciano Barbosa Lemos Filho, MD
• Amanda Cecilia Lemus, MD
• Katherine W Leo, PHARMD
• Curtis L Leonard, MD
• John Leonard, MD
• Angelina Leonardi
• Pamela J Leonhardt, PSY.D
• Derek G Leopold, MD
• Mark G Lersch, LPC
• Kristen Marie Lervik, PA-C

• Registered Dietitian in Longmont, CO
• Providers in Longmont, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.