NPI 1770919375 · live from the CMS NPI Registry
Karen Dean, RD
Dietitian, Registered in N Providence, RI. National Provider Identifier 1770919375, active.
NPI record
| NPI | 1770919375 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 200 High Service Ave, N Providence, RI 02904 |
| Practice phone | 401-456-3193 |
| Mailing address | 825 Chalkstone Ave, N. Campus Business Office, Attn: R. Soares, Providence, RI 02908 |
| Enumerated | September 16, 2013 |
| Last updated | September 16, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00020 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.