Stacey Leary, RD, CDN, CNSC
Dietitian, Registered in Derby, Connecticut
1003224221- Practice location
- 130 Division St, Derby, CT 06418-1326
- Phone
- 203-732-7585
- Fax
- —
- Last updated
- August 1, 2014
Stacey Leary is a Dietitian, Registered based in Derby, CT. Stacey Leary practices in Derby, CT and has the professional credentials of RD, CDN, CNSC. The NPI Number for Stacey Leary is 1003224221 and holds a License No. 000933 (CT). The current practice location address for Stacey Leary is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-732-7585.
Provider Profile Details
- NPI Number
- 1003224221
- Provider Name
- Stacey Leary
- Credential
- RD, CDN, CNSC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Division St, Derby, CT 06418-1326
- Phone Number
- 203-732-7585
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 31, 2014
- Last Update Date
- August 1, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Division St
Derby, CT 06418-1326 - City
- Derby
- State
- Connecticut
- Zip
- 06418-1326
- Phone Number
- 203-732-7585
Provider Business Mailing Address Details
- Address
- 88 Washington Ave
Seymour, CT 06483-3127 - City
- Seymour
- State
- CT
- Zip
- 06483-3127
- Phone Number
- 203-231-5544
License Information
- License Number
- 000933
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Derby, CT
View all Dietitian, Registered providers in Derby →- Jessica L Thongparn, RDDietitian, Registered · NPI 1093305674
- Jody WagnerDietitian, Registered · NPI 1669860409
- Kate Kelley, RDDietitian, Registered · NPI 1225426448
- Lauren Karamavros, RDDietitian, Registered · NPI 1477084069
- Mrs. Christina Ernst, MS, RD, CDNDietitian, Registered · NPI 1003070020
- Mrs. Kelly L Sheehan, RD, CD-NDietitian, Registered · NPI 1346273224
Frequently Asked Questions
What is the NPI number of Stacey Leary, RD, CDN, CNSC?
The NPI number of Stacey Leary, RD, CDN, CNSC is 1003224221. It was assigned on July 31, 2014 and is currently active in the NPPES registry.
What is the specialty of Stacey Leary, RD, CDN, CNSC?
Stacey Leary, RD, CDN, CNSC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000933.
Where does Stacey Leary, RD, CDN, CNSC practice?
The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-732-7585 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003224221 directly on the NPPES registry website.