NPI 1003836131 · live from the CMS NPI Registry
Jeannie Dorr, RD
Dietitian, Registered in Providence, RI. National Provider Identifier 1003836131, active.
NPI record
| NPI | 1003836131 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 593 Eddy St, George Clinic, Providence, RI 02903 |
| Practice phone | 401-444-3201 |
| Mailing address | 117 Ellenfield St Ste 101, Providence, RI 02905 |
| Enumerated | July 20, 2006 |
| Last updated | December 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00556 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.