ALIXANDRA BIANCA LEESTMA
NPI 1104489954
Dietitian, Registered in Tacoma, WA

Active since April 17, 2019Accepts Medicare Assignment
2202 S CEDAR ST STE 300, TACOMA, WA 98405(253) 301-5280 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alixandra Bianca Leestma NPPES

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

ALIXANDRA BIANCA LEESTMA (NPI 1104489954) is an individual dietitian, registered in Tacoma, Washington, licensed in Washington (DI60943877) and active in the NPI registry since April 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1104489954
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALIXANDRA BIANCA LEESTMA
Location Address2202 S CEDAR ST STE 300Tacoma, WA 98405-2318
Mailing AddressPo Box 5299, Ms: 737-3-pconTacoma, WA 98415-0299
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 17, 2019
✔ NPI 1104489954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · DI60943877
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2202 S CEDAR ST STE 300, Tacoma, WA 98405

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alixandra Bianca Leestma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648504001
PECOS Enrollment IDI20190619001529

Medicare Billing Reassignment

Medicare enrollment records show Alixandra Leestma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
3315 S 23RD ST, STE 200
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
2202 S CEDAR ST STE 300
TACOMA, WA 98405
Internal Medicine
2202 S CEDAR ST STE 300
TACOMA, WA 98405
Nurse Practitioner (Family)
2202 S CEDAR ST STE 300
TACOMA, WA 98405
Internal Medicine (Hospice and Palliative Medicine)
2202 S CEDAR ST STE 300
TACOMA, WA 98405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alixandra Leestma's NPI number?

The NPI number for Alixandra Leestma is 1104489954. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Alixandra Leestma located?

Alixandra Leestma practices at 2202 S Cedar St Ste 300, Tacoma, WA 98405. The listed phone number is (253) 301-5280.

What is Alixandra Leestma's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Alixandra Leestma enrolled in Medicare?

Yes. Alixandra Leestma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alixandra Leestma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alixandra Leestma reassigns Medicare benefits to Multicare Health System (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alixandra Leestma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alixandra Leestma accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Alixandra Leestma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alixandra Leestma was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.