Active NPI
Kari Anne Leach, RD
- Renal Nutrition Registered Dietitian
- Missoula, MT
National Provider Identifier
1982934584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 560
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 329-2671
- NPI assigned
- Jan 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 560 | MT | Primary |
| Registered Dietitian | 133V00000X | 560 | MT |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 329-2671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100415000639 | MT | Practitioner - Registered Dietitian Or Nutrition Professional | 9032246418 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 560 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients |
Locations
2835 Fort Missoula Rd
Ste 101
Missoula, MT 59804
Phone (406) 327-3920
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850
2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533
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 and National Provider Directory roles.
-
- Medical Oncology Physician
- Missoula, MT
- NPI 1891164125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1982934584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-329-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-329-2671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "KARI",
"middle_name": "ANNE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-04",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "MT",
"license": "560",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "560",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.