NPI 1699504175 · live from the CMS NPI Registry
Leslie Ann Johnson, RDN
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1699504175, active.
NPI record
| NPI | 1699504175 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 429 Truman St Ne, Albuquerque, NM 87108 |
| Practice phone | 814-397-2172 |
| Mailing address | 10267 Route 98, Edinboro, PA 16412 |
| Enumerated | July 31, 2024 |
| Last updated | July 31, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.