NPI 1275484222 · live from the CMS NPI Registry
Julia Rose Bodah, RD
Dietitian, Registered in Providence, RI. National Provider Identifier 1275484222, active.
NPI record
| NPI | 1275484222 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2 Dudley St Fl 5, Providence, RI 02905 |
| Practice phone | 401-274-1122 |
| Mailing address | 455 Toll Gate Rd, Prc And Credentialing, Warwick, RI 02886 |
| Enumerated | February 5, 2026 |
| Last updated | February 26, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN01156 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.