Lee Sullivan Baxter, MS, RDN, LD

Individual provider Active NPI Registered Dietitian · Hoover, AL

NPI 1982248308 · NPPES record last updated Oct 29, 2019

Key facts

NPI
1982248308
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
3073 (AL)
Practice address
3829 Lorna Rd
Hoover, AL 35244-7034
Phone
(205) 710-2368
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Corelife Inc Past
since Nov 3, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3073 AL Yes

Addresses

Primary practice location

3829 Lorna Rd
Hoover, AL 35244-7034

Mailing address

2244 Summit PL
Vestavia, AL 35243-3155
Phone (859) 613-4618

Other providers in Hoover, AL

All providers in Hoover, AL · Registered Dietitian in Alabama

Sources for this page

Verify at the official NPI Registry.