Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kim Marie Leidner, MSRD, CDE

Individual provider Registered Dietitian · NPI 1790853745

Mrs. Kim Marie Leidner, MSRD, CDE is a Registered Dietitian OR Nutrition Professional in West Babylon, New York. Qualified in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2006
What do these letters mean?
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

See every abbreviation used in this directory →

Practice location Address checks out

986 Sunrise Hwy
West Babylon, NY 11704-6111
Phone: (631) 587-6060
Fax: (631) 587-1364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 806597 (IL)

Record details

NPI number1790853745
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD , CDE
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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