Provider Demographics
NPI:1215177407
Name:POLLARD, LEEANN NICOLE (RD,CDN)
Entity type:Individual
Prefix:
First Name:LEEANN
Middle Name:NICOLE
Last Name:POLLARD
Suffix:
Gender:F
Credentials:RD,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19303 ANCHOR BAY LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3087
Mailing Address - Country:US
Mailing Address - Phone:917-834-1713
Mailing Address - Fax:
Practice Address - Street 1:19303 ANCHOR BAY LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3087
Practice Address - Country:US
Practice Address - Phone:917-834-1713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-27
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006544133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered