LEAH M TANNER RD - NPI 1104121680 - Dietitian, Registered in San Luis Obispo, CA

Q: What is Leah Tanner's NPI number?

The NPI number for Leah Tanner is 1104121680. It was assigned to this individual provider in the NPPES registry on January 14, 2011.

Q: What is Leah Tanner's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Q: When was this NPI record last updated?

The NPPES record for Leah Tanner was last updated on November 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Leah M Tanner Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH M TANNER RD (NPI 1104121680) is an individual nutrition, renal provider in San Luis Obispo, California, licensed in California (919327) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1104121680

Entity TypeIndividualFemale

Primary Taxonomy133VN1005X

Provider Legal NameLEAH M TANNERCredential: RD

Location Address84 SANTA ROSA ST, SUITE ASan Luis Obispo, CA 93405-1812

Mailing Address84 Santa Rosa St, Suite ASan Luis Obispo, CA 93405-1812 · (805) 548-8585 · Fax (805) 548-8589

Phone(805) 548-8585

Fax(805) 548-8589

Sole ProprietorNo

Enumeration DateJanuary 14, 2011

Last NPPES UpdateNovember 10, 2014

✔ NPI 1104121680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers

Taxonomy Code133VN1005X

License✔ Licensed in CA · 919327

Definition

An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

84 SANTA ROSA ST, San Luis Obispo, CA 93405

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