Individual provider Active NPI

Darcy Leon, RD

  • Registered Dietitian
  • Mesa, AZ
National Provider Identifier
1932574472
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
977960 Issued in AZ
Practice address
11038 E Sutter Ave
Mesa, AZ 85212-2603
Phone
(480) 540-4800
NPI assigned
Dec 9, 2015
Last updated
Dec 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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 977960 AZ Primary

Addresses

Primary practice location

11038 E Sutter Ave
Mesa, AZ 85212-2603

Mailing address

11038 E Sutter Ave
Mesa, AZ 85212-2603
Phone (480) 540-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807003813 AZ Practitioner - Registered Dietitian Or Nutrition Professional 9537520507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andersons NutritionGroup PAC ID 7810252699, 10 clinicians

Practice addresses (Care Compare)

4700 S Mill Ave
Suite B7
Tempe, AZ 85282-6736
Phone (602) 770-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
977960AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Andersons Nutrition Dietitian, Registered CurrentSince Jul 24, 2023 Accepting new patients
Andersons Nutrition Dietitian, Registered CurrentSince Jul 24, 2023 Accepting new patients

Locations

1166 E Warner Rd
Ste 220
Gilbert, AZ 85296
Phone (623) 306-5832

1206 E Warner Rd
Gilbert, AZ 85296
Phone (480) 570-3919

11111 N Scottsdale Rd
Ste 205
Scottsdale, AZ 85254
Phone (480) 619-4399

4700 S Mill Ave
Ste B7
Tempe, AZ 85282

140 Wallace Ave
#105
Downingtown, PA 19335

142 Wallace Ave
#105
Downingtown, PA 19335
Phone 60277076112

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1932574472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11038 E SUTTER AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122603",
            "telephone_number": "480-540-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11038 E SUTTER AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122603",
            "telephone_number": "480-540-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "DARCY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "977960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.