NPI 1164581617 · live from the CMS NPI Registry
Heather Jean Gagliardi, RD
Dietitian, Registered in Warwick, RI. National Provider Identifier 1164581617, active.
NPI record
| NPI | 1164581617 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 400 Bald Hill Rd, Suite 530, Warwick, RI 02886 |
| Practice phone | 401-737-9091 |
| Mailing address | Nutrition, INC., 525 Taunton Avenue Suite 300, East Providence, RI 02914 |
| Enumerated | December 8, 2006 |
| Last updated | August 25, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 00550 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.