Katie Leahy, MS, RDN, LD | |
13117 Royal George Ave, Odessa, FL 33556-5720 | |
(518) 321-4960 | |
Not Available |
Full Name | Katie Leahy |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 13117 Royal George Ave, Odessa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881050599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | ND 6830 (Florida) | Primary |
Provider Name | Saratoga Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033371166 PECOS PAC ID: 6406740273 Enrollment ID: O20040402000837 |
Mailing Address | Practice Location Address |
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Katie Leahy, MS, RDN, LD 13117 Royal George Ave, Odessa, FL 33556-5720 Ph: (518) 321-4960 | Katie Leahy, MS, RDN, LD 13117 Royal George Ave, Odessa, FL 33556-5720 Ph: (518) 321-4960 |
Ms. Susan Marie Triola, RD, LD-N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16168 Glowing Grove Ave, Odessa, FL 33556 Phone: 523-406-4553 | |
Suzanne E Stacey, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2040 Short Ave, Suite 100, Odessa, FL 33556 Phone: 727-372-9922 Fax: 727-372-8477 | |
Amanda Corrine Maucere, MS RD LD/N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2552 Merchant Ave, Odessa, FL 33556 Phone: 727-534-9742 |