NPI 1225751167 · live from the CMS NPI Registry
Cheryl Muriel Brock, RD, LDN
Dietitian, Registered in Smithfield, RI. National Provider Identifier 1225751167, active.
NPI record
| NPI | 1225751167 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1150 Douglas Pike, Smithfield, RI 02917 |
| Practice phone | 401-232-6221 |
| Mailing address | 52 Whispering Pine Trl, Wakefield, RI 02879 |
| Enumerated | September 26, 2022 |
| Last updated | September 26, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00484 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.