Active NPI
Leslie Roberts Cornett, MSH, RDN, LDN, CDCES
- Registered Dietitian
- Ooltewah, TN
National Provider Identifier
1962688499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 892550
- Practice address
- 4015 Banner Crest Dr
Ooltewah, TN 37363-8370 - Phone
- (423) 475-0120
- NPI assigned
- Jan 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 892550 | GA | Primary |
Addresses
Primary practice location
4015 Banner Crest Dr
Ooltewah, TN 37363-8370
Mailing address
4015 Banner Crest Dr
Ooltewah, TN 37363-8370
Phone (423) 475-0120
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1962688499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 BANNER CREST DR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373638370",
"telephone_number": "423-475-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 BANNER CREST DR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373638370",
"telephone_number": "423-475-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNETT",
"first_name": "LESLIE",
"middle_name": "ROBERTS",
"name_prefix": "Mrs.",
"credential": "MSH, RDN, LDN, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-15",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "892550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ooltewah, TN
- Crissy Collins
- Complete Care Physical Therapy
- Paula Renee Connor, IBCLC
- Remona Carol Cordle, DPT
- Cornerstone Behavioral Health
- Kristen Lynn Corrigan, DMD
- County of Hamilton (Hamilton County Health Department at Ooltewah)
- Mark Steven Crago, M.D.
- Kristy Michelle Cranford, RN
- Kendyl Rogers Cranston, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.