MRS. KIM MARIE LEIDNER (NPI# 1790853745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790853745 |
| Entity Type | Individual |
| Full Name | MRS. KIM MARIE LEIDNER |
| Credential | MSRD, CDE |
| Practice Address |
986 Sunrise Hwy West Babylon NY 11704-6111 |
| Mailing Address |
34 Stratford Ave Greenlawn NY 11740-2519 |
| Practice Telephone | 6315876060 |
| Practice Fax Number | 6315871364 |
| Mailing Telephone | 6313683706 |
| Mailing Fax Number | 6313681027 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 806597 | IL | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CIGNA | 5457751 | 01 |
| NY | GHI | 8099804 | 01 |
| NY | OXFORD | P2720854 | 01 |
| NY | MDNY | AZ00894 | 01 |
| NY | AETNA | 2595970 | 01 |
| NY | HEALTHNET | 3C7122 | 01 |
| NY | BLUE CROSS | IG0951 | 01 |
| Street Address |
986 SUNRISE HWY |
| City | WEST BABYLON |
| State | NY |
| Zip Code | 11704-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245420249 | Long Island Medical Care Services PC | Internal Medicine | 986 Sunrise Hwy, West Babylon, NY 11704-6111 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679107387 | Terese Wunderlich | Massage Therapist | 555 Little E. Neck Road, West Babylon, NY 11704 | 2020-03-03 |
| 1437782604 | Pierangelie Maldonado | Licensed Practical Nurse | 140 Bond Street, West Babylon, NY 11704 | 2020-02-17 |
| 1356811947 | Chanell Smiley | Social Worker | 635 Commander Ave, West Babylon, NY 11704 | 2018-11-27 |
| 1265973960 | Elizabeth Cianchetti, Lcsw, Pllc | Social Worker | 1218 -12th St., West Babylon, NY 11704 | 2017-03-14 |
| 1689060626 | Jessica Marie Byers | Licensed Practical Nurse | 430 14th Street, West Babylon, NY 11704 | 2015-04-07 |
| 1689079741 | Barbara Hayes | Registered Nurse | 1 Farmingdale Road Route 109, Federation of Organizations, West Babyon, NY 11704 | 2014-10-30 |
| 1336541515 | Heather C Frankaitis | Massage Therapist | 555 Little East Neck Rd., Suite 3, West Babylon, NY 11704 | 2014-09-19 |
| 1922414572 | Nikki Lanclos | Counselor | 165 Fulton Street, West Babylon, NY 11704 | 2014-07-03 |
| 1699189027 | Corina Smith | Licensed Practical Nurse | 15 Mida Ct, West Babylon, NY 11704 | 2014-06-13 |
| 1528483005 | Angela Christina Albergo-roman | Counselor | One Farmingdale Road, West Babylon, NY 11704 | 2014-02-20 |
| Find all providers in zip 11704 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568019719 | Quiara Gordon | Dietitian, Registered | 76 Hilltop Ave, West Babylon, NY 11704-2507 | 2019-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST BABYLON |
| Zip Code | 11704 |
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| 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.