NPI 1396455341 · live from the CMS NPI Registry
Leianna Bussell, RD
Dietitian, Registered in Carmel, IN. National Provider Identifier 1396455341, active.
NPI record
| NPI | 1396455341 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 90 Executive Dr Ste C, Carmel, IN 46032 |
| Practice phone | 317-740-1970 |
| Mailing address | 904 South St, Lafayette, IN 47901 |
| Enumerated | November 30, 2022 |
| Last updated | September 23, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | — |
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.