Provider Demographics
NPI:1922230127
Name:ALTFELD, LEAH FRANCES (MS, RD, LDN, CDE)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:FRANCES
Last Name:ALTFELD
Suffix:
Gender:F
Credentials:MS, RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:879 HOLLY TREE GAP RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6411
Mailing Address - Country:US
Mailing Address - Phone:615-477-5335
Mailing Address - Fax:
Practice Address - Street 1:501 28TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4001
Practice Address - Country:US
Practice Address - Phone:615-324-1946
Practice Address - Fax:615-327-0643
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000002008133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered