NPI 1275674384 · live from the CMS NPI Registry
Katherine L. Blandino, R.D.
Dietitian, Registered in Providence, RI. National Provider Identifier 1275674384, active.
NPI record
| NPI | 1275674384 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 21 Peace St, Providence, RI 02907 |
| Practice phone | 401-456-4316 |
| Mailing address | 38 Meadow View Dr, Smithfield, RI 02917 |
| Enumerated | February 9, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 120 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.