NPI 1235569633 · live from the CMS NPI Registry
Leah Decker
Dietitian, Registered in Hampton, VA. National Provider Identifier 1235569633, active.
NPI record
| NPI | 1235569633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 100 Emancipation Dr, Hampton, VA 23667 |
| Practice phone | 931-538-8351 |
| Enumerated | November 21, 2013 |
| Last updated | October 28, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1173 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.