LESLIE MARIE ANDERSON LDN RD
NPI 1114242781
Dietitian, Registered in Fort Walton Beach, FL

Active since April 07, 2010
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-6600 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leslie Marie Anderson Ldn Rd NPPES

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

LESLIE MARIE ANDERSON LDN RD (NPI 1114242781) is an individual dietitian, registered in Fort Walton Beach, Florida, licensed in Florida (ND9301) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1114242781
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLESLIE MARIE ANDERSONCredential: LDN RD
Location Address1005 MAR WALT DRFort Walton Beach, FL 32547-6707
Mailing Address1005 Mar Walt DriveFort Walton Beach, FL 32547-6707 · (850) 863-6600 · Fax (850) 862-0972
Sole ProprietorNo
Enumeration DateApril 7, 2010
Last NPPES UpdateDecember 10, 2019
NPI 1114242781 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 FL · ND9301
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.

1005 MAR WALT DR, Fort Walton Beach, FL 32547

Other Names 1

Former Name (1)Leslie A. Wimberley

Other Providers at the Same Location NPPES 19

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

Physician Assistant
1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547
Ophthalmology
1005 MAR WALT DR, OPHTHALMOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Internal Medicine
1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547
Physician Assistant
1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547
Nurse Practitioner
1005 MAR WALT DR, CARDIOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Pediatrics
1005 MAR WALT DR, PEDIATRIC DEPARTMENT
FORT WALTON BEACH, FL 32547
Physician Assistant
1005 MAR WALT DR, IMMEDIATE CARE DEPARTMENT
FORT WALTON BEACH, FL 32547
Internal Medicine
1005 MAR WALT DR, INTERNAL MEDICINE
FORT WALTON BEACH, FL 32547

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114242781, enumerated as an "individual" on April 07, 2010.

The provider is located at 1005 MAR WALT DR FORT WALTON BEACH, FL 32547 and the phone number is (850) 863-6600.

Dietitian, Registered with taxonomy code 133V00000X.