MS. JEANNIE MARIE LEITAO RD
NPI 1598094963
Dietitian, Registered in Glastonbury, CT

Active since December 15, 2009Accepts Medicare Assignment
2790 MAIN ST, GLASTONBURY, CT 06033(860) 430-9922(860) 633-9922 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jeannie Marie Leitao Rd NPPES

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

MS. JEANNIE MARIE LEITAO RD (NPI 1598094963) is an individual dietitian, registered in Glastonbury, Connecticut, licensed in Connecticut (000964) and active in the NPI registry since December 2009. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1598094963
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. JEANNIE MARIE LEITAOCredential: RD
Location Address2790 MAIN STGlastonbury, CT 06033-2027
Mailing Address2790 Main StGlastonbury, CT 06033-2027 · (860) 430-9922 · Fax (860) 633-9922
Fax(860) 633-9922
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 15, 2009
Last NPPES UpdateMarch 11, 2019
NPI 1598094963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in CT · 000964
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.

Also ListedNutritionistTaxonomy 133N00000X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
2790 MAIN ST, Glastonbury, CT 06033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Jeannie Marie Leitao Rd 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 ID1254465933
PECOS Enrollment IDI20100817000718

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 3

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

Dietitian, Registered
2790 MAIN ST
GLASTONBURY, CT 06033
Dietitian, Registered
2790 MAIN ST
GLASTONBURY, CT 06033
Dietitian, Registered
2790 MAIN ST
GLASTONBURY, CT 06033

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 Jeannie Leitao's NPI number?

The NPI number for Jeannie Leitao is 1598094963. It was assigned to this individual provider in the NPPES registry on December 15, 2009.

Where is Jeannie Leitao located?

Jeannie Leitao practices at 2790 Main St, Glastonbury, CT 06033. The listed phone number is (860) 430-9922.

What is Jeannie Leitao's specialty?

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

Is Jeannie Leitao enrolled in Medicare?

Yes. Jeannie Leitao 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.

When was this NPI record last updated?

The NPPES record for Jeannie Leitao was last updated on March 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.