NPI 1336563287 · live from the CMS NPI Registry
Stacey Elizabeth Carreira, RD, LDN
Dietitian, Registered in Providence, RI. National Provider Identifier 1336563287, active.
NPI record
| NPI | 1336563287 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 825 Chalkstone Ave, Providence, RI 02908 |
| Practice phone | 401-456-2000 |
| Mailing address | 30 Tori Leigh Ln, Rehoboth, MA 02769 |
| Enumerated | February 13, 2014 |
| Last updated | February 13, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3544 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.