NPI 1750102240 · live from the CMS NPI Registry
Nicole Chen, RD, LDN
Dietitian, Registered in Providence, RI. National Provider Identifier 1750102240, active.
NPI record
| NPI | 1750102240 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 383 W Fountain St # 115, Providence, RI 02903 |
| Practice phone | 401-297-3256 |
| Mailing address | 20 Boesch Farm Rd, East Greenwich, RI 02818 |
| Enumerated | October 18, 2024 |
| Last updated | October 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00580 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.