Active NPI
Lee Sullivan Baxter, MS, RDN, LD
- Registered Dietitian
- Hoover, AL
National Provider Identifier
1982248308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3073
- Practice address
- 3829 Lorna Rd
Hoover, AL 35244-7034 - Phone
- (205) 710-2368
- NPI assigned
- Oct 29, 2019
- Last updated
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 3073 | AL | Primary |
Addresses
Primary practice location
3829 Lorna Rd
Hoover, AL 35244-7034
Mailing address
2244 Summit PL
Vestavia, AL 35243-3155
Phone (859) 613-4618
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3073 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corelife Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Hoover, AL
- NPI 1073003745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1982248308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2244 SUMMIT PL",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352433155",
"telephone_number": "859-613-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3829 LORNA RD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352447034",
"telephone_number": "205-710-2368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "LEE",
"middle_name": "SULLIVAN",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "3073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.