Clinical Weight Loss & Wellness LLC
NPI 1265990030ActiveOrganization· Dietitian, Registered· Glastonbury, CT
Dietitian, Registered in Glastonbury, Connecticut, registered in NPPES in March 2019. The authorized official on file is Jeannie Marie Leitao, RD, CDE, CDN, Owner/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265990030 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2019 |
| Last updated in NPPES | Oct 2, 2020 |
| Certified by provider | Oct 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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