NPI 1376406066 · live from the CMS NPI Registry
Mia Samantha Fishkin, MPH, RDN, LDN
Dietitian, Registered in North Providence, RI. National Provider Identifier 1376406066, active.
NPI record
| NPI | 1376406066 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1635 Mineral Spring Ave Ste 205, North Providence, RI 02904 |
| Practice phone | 401-305-6602 |
| Mailing address | 48 Homefield Ave, Providence, RI 02908 |
| Enumerated | December 8, 2025 |
| Last updated | March 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.