KELLY SUE LEONARD NUTRITIONIST
NPI 1912202722
Dietitian, Registered - Nutrition, Pediatric in Raleigh, NC

Q: What is Kelly Leonard's NPI number?

The NPI number for Kelly Leonard is 1912202722. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Q: What is Kelly Leonard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Leonard was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since January 26, 2011

2801 BLUE RIDGE RD, RALEIGH, NC 27607(984) 974-0502(984) 974-9579 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Kelly Sue Leonard Nutritionist NPPES

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

KELLY SUE LEONARD NUTRITIONIST (NPI 1912202722) is an individual nutrition, pediatric provider in Raleigh, North Carolina, licensed in Virginia (969608) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1912202722

Entity TypeIndividualFemale

Primary Taxonomy133VN1004X

Provider Legal NameKELLY SUE LEONARDCredential: NUTRITIONIST

Location Address2801 BLUE RIDGE RDRaleigh, NC 27607-0114

Mailing Address2801 Blue Ridge RdRaleigh, NC 27607-0114 · (984) 974-0502 · Fax (984) 974-9579

Phone(984) 974-0502

Fax(984) 974-9579

Sole ProprietorNo

Enumeration DateJanuary 26, 2011

Last NPPES UpdateApril 4, 2025

NPPES CertifiedApril 4, 2025

✔ NPI 1912202722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code133VN1004X

License✔ Licensed in VA · 969608

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.

2801 BLUE RIDGE RD, Raleigh, NC 27607

Open in Google Maps ↗

Other Identifiers 1

Medicaid004909976VA

Other Providers at the Same Location NPPES 10

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

PHILIP L MARTIN M.D.

Specialist

2801 BLUE RIDGE RD, SUITE 200
RALEIGH, NC 27607

Wake County (919) 571-0081

DR. MAUREEN PETERSEN M.D.

Allergy & Immunology

2801 BLUE RIDGE RD
RALEIGH, NC 27607

Wake County (984) 974-0500

KATHERINE ANN GILMORE PNP-PC

Nurse Practitioner (Pediatrics)

2801 BLUE RIDGE RD
RALEIGH, NC 27607

Wake County (984) 974-7337

SOUTHERN EYE ASSOCIATES, PA

Specialist

2801 BLUE RIDGE RD, SUITE 200
RALEIGH, NC 27607

Wake County (919) 571-0081

GABRIELLA LOPEZ LCSW-A

Social Worker (Clinical)

2801 BLUE RIDGE RD
RALEIGH, NC 27607

Wake County (919) 445-4215

BENTON S SATTERFIELD MD PA

General Practice

2801 BLUE RIDGE RD, STE G50
RALEIGH, NC 27607

Wake County (919) 783-0960

KELSEY IONA PARKMAN RD

Dietitian, Registered (Nutrition, Pediatric)

2801 BLUE RIDGE RD
RALEIGH, NC 27607

Wake County (984) 974-0500

MRS. HEATHER CARROLL FNP-BC

Nurse Practitioner (Family)

2801 BLUE RIDGE RD
RALEIGH, NC 27607

Wake County (984) 215-6475

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 Kelly Leonard's NPI number?

The NPI number for Kelly Leonard is 1912202722. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Where is Kelly Leonard located?

Kelly Leonard practices at 2801 Blue Ridge Rd, Raleigh, NC 27607. The listed phone number is (984) 974-0502.

What is Kelly Leonard'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 Kelly Leonard was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.