Lauren Elizabeth Leedy, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60650272 Issued in WA

Practice address

10530 Ashworth Ave N
Seattle, WA 98133-8938

Phone

(509) 318-4471

NPI assigned

May 2, 2019

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

Other names 1

• Ms. Lauren Elizabeth Gibson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 19, 2026 through May 19, 2028

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1962067199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 ASHWORTH AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338938",
            "telephone_number": "509-318-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 ASHWORTH AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338938",
            "telephone_number": "509-318-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDY",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60650272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GIBSON",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Lee
• Arielle Tagger Leeberg
• Angela Leed
• Gina Marie Leeds, LMP
• Douglas J Leedy, MD
• Glenn W Leever, MSW
• Linda Lea Leeward, DMD
• Elizabeth G Lefebre, BCBA
• Nicole J Lefebvre
• Olive Lefferson

• Registered Dietitian in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.
• 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.