LESLIE BERRY RD
NPI 1386032266
Dietitian, Registered - Nutrition, Pediatric in Jacksonville, FL

Active since December 31, 2014
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3695(302) 651-4945 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Leslie Berry Rd NPPES

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

LESLIE BERRY RD (NPI 1386032266) is an individual nutrition, pediatric provider in Jacksonville, Florida, licensed in Florida (ND4390) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1386032266
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameLESLIE BERRYCredential: RD
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing Address807 Childrens WayJacksonville, FL 32207-8426 · (904) 697-3695 · Fax (302) 651-4945
Fax(302) 651-4945
Sole ProprietorNo
Enumeration DateDecember 31, 2014
Last NPPES UpdateOctober 5, 2016
NPI 1386032266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License Licensed in FL · ND4390
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License ND4390 (FL)
807 CHILDRENS WAY, Jacksonville, FL 32207

Other Identifiers 1

Medicaid016602100FL

Other Providers at the Same Location NPPES 20

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

Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207

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 Leslie Berry's NPI number?

The NPI number for Leslie Berry is 1386032266. It was assigned to this individual provider in the NPPES registry on December 31, 2014.

Where is Leslie Berry located?

Leslie Berry practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3695.

What is Leslie Berry's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Leslie Berry was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.