MEDICARE: LEAH SKIPPER MS,RD,LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	1597	AL

General Provider Information

NPI Number	:	1841154457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH SKIPPER MS,RD,LD

Provider Business Mailing Address
First Line	:	1909 RIDGE RD
Second Line	:
City	:	GREENVILLE
State	:	AL
Zip	:	36037-6805
Country	:	US
Telephone Number	:	334-437-1813
Fax Number	:	888-866-9950

Provider Business Practice Location Address
First Line	:	1803A E THREE NOTCH ST
Second Line	:
City	:	ANDALUSIA
State	:	AL
Zip	:	36421-2403
Country	:	US
Telephone Number	:	409-767-8100
Fax Number	:	888-977-1202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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