NPIMap

Organization Active NPI

Lifefit Nutrition LLC

  • Registered Dietitian
  • Providence, RI
National Provider Identifier
1013597764
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LIFEFIT NUTRITION LLC
Practice address
67 Durham St
Providence, RI 02908-1522
Phone
(401) 585-4560
Fax
(845) 840-1371
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason P Oliveira, RDNPI 1033402003
Title
Dietitian
Phone
(401) 585-4560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

67 Durham St
Providence, RI 02908-1522

Mailing address

4255 Collingswood Blvd
Port Charlotte, FL 33948-8819
Phone (401) 585-4560

Other practice location 1

4255 Collingswood Blvd
Port Charlotte, FL 33948-8819
Phone (401) 585-4560

Other practice location 2

28 Willing Ave
Warwick, RI 02888-5124
Phone (401) 585-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210503000167 RI Part B Supplier - Clinic/Group Practice 9537578661 Receives reassigned benefits from 1 practitioner
Practice locations: Providence, RI; Warwick, RI
O20230328000431 FL Part B Supplier - Clinic/Group Practice 9537578661 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1013597764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 COLLINGSWOOD BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339488819",
            "telephone_number": "401-585-4560",
            "fax_number": "845-840-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 DURHAM ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029081522",
            "telephone_number": "401-585-4560",
            "fax_number": "845-840-1371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 Collingswood Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339488819",
            "country_code": "US",
            "telephone_number": "401-585-4560",
            "fax_number": "845-840-1371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Willing Ave",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028885124",
            "country_code": "US",
            "telephone_number": "401-585-4560",
            "fax_number": "845-840-1371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEFIT NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "401-585-4560",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.