KATHLEEN SUE LILEGDON


Address: 2001 W 86th St, Indianapolis, IN 46260-1902
Phone: 3175835033

KATHLEEN SUE LILEGDON (NPI# 1396360590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396360590
Entity Type Individual
Full Name KATHLEEN SUE LILEGDON
Credential RD
Practice Address 2001 W 86th St
Indianapolis
IN 46260-1902
Mailing Address 10580 N Meridian St
Indianapolis
IN 46290-1028
Practice Telephone 3175835033
Enumeration Date 2020-06-12
Last Update Date 2020-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 2001 W 86TH ST
City INDIANAPOLIS
State IN
Zip Code 46260-1902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021829 Bassem I Razzouk Pediatrics 2001 W 86th St, Indianapolis, IN 46260-1902 2005-05-27
1881209294 Jennifer L Maupin Nurse Practitioner 2001 W 86th St, Indianapolis, IN 46260-1902 2020-09-11
1851904973 Taylor Anne Vandervort Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-08-28
1437762796 Casey Michelle O'neal Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-08-26
1033732979 Rachel Leigh Thelen Physician Assistant 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-27
1942823976 Shelby Nichole Preston Dietitian, Registered 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-26
1396367165 Gabrielle Ann Vickery Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-14
1154950798 Kaylee Elizabeth Poole Pharmacist 2001 W 86th St, Indianapolis, IN 46260-1902 2020-04-06
1326677014 Julie Mary Bittar Student in an Organized Health Care Education/Training Program 2001 W 86th St, Indianapolis, IN 46260-1902 2020-04-03
1427687235 Fawaz Hasnain Student in an Organized Health Care Education/Training Program 2001 W 86th St, Indianapolis, IN 46260-1902 2020-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508478298 Verity Smile Studio, LLC Clinic/Center 1619 W. 86th St Suite B, Indianapolis, IN 46260 2020-08-23
1225666589 Alexander Michael Kiel Student in an Organized Health Care Education/Training Program Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 2020-03-31
1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518571157 Kara Kathryn Berning Dietitian, Registered 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 2020-09-01
1114538998 Kiara J Thompson Dietitian, Registered 4946 Lewiston Dr, Indianapolis, IN 46254-7101 2020-08-13
1760092803 Chelsea Schwartz Dietitian, Registered 336 S Delaware St Apt 4523, Indianapolis, IN 46204-3701 2020-08-04
1316556715 Eleanor F Moran Dietitian, Registered 1509 Evenstar Blvd Apt 130, Indianapolis, IN 46280-2884 2020-07-31
1114557246 Molly Elizabeth Liss Dietitian, Registered 8810 Calumet Dr, Indianapolis, IN 46236-9031 2020-01-16
1932749983 Justin Hassemer Dietitian, Registered 1230 N Irvington Ave, Indianapolis, IN 46219-3017 2020-01-07
1912543083 Darrien Harris Dietitian, Registered 6160 N Keystone Ave, Indianapolis, IN 46220-2424 2019-11-22
1720620503 Stacey Bolander Dietitian, Registered 5510 S East St Ste H, Indianapolis, IN 46227-1938 2019-10-12
1982178463 Lydia Ballenger Dietitian, Registered 566 Ironridge Ct, Indianapolis, IN 46239-8890 2019-01-17
1184129538 Jenna Mcclean Dietitian, Registered 402 W Washington St Rm W041, Indianapolis, IN 46204-2763 2018-03-28
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Competitor

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City INDIANAPOLIS
Zip Code 46260

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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