MRS. KIM MARIE LEIDNER MSRD CDE NPI 1790853745

NPI Information

  • NPI: 1790853745
  • Provider Name: MRS. KIM MARIE LEIDNER, MSRD, CDE
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 986 SUNRISE HWY
    WEST BABYLON, NY
    ZIP 11704
  • Phone: (631) 587-6060

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NPI Details

MRS. Kim Marie Leidner, MSRD, CDE is a dietitian registered in West Babylon, NY with 35 years of experience. The provider is 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. MRS. Kim Marie Leidner, MSRD, CDE NPI is 1790853745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

986 SUNRISE HWY
WEST BABYLON, NY
ZIP 11704-111
Phone: (631) 587-6060
Fax: (631) 587-1364

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure for nutrition management, each 15 minutes (HCPCS:97802)
  • Therapy procedure reassessment for nutrition management, each 15 minutes (HCPCS:97803)

The enumeration date for this NPI number is 11/30/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered806597ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18099804OTHERNEW YORKGHI
25457751OTHERNEW YORKCIGNA
32595970OTHERNEW YORKAETNA
43C7122OTHERNEW YORKHEALTHNET
5P2720854OTHERNEW YORKOXFORD
6AZ00894OTHERNEW YORKMDNY
7IG0951OTHERNEW YORKBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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