Individual provider Active NPI

Jason P Oliveira, RD, LDN

  • Registered Dietitian
  • East Providence, RI
National Provider Identifier
1033402003
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00553 Issued in RI
Practice address
1409 S Broadway
East Providence, RI 02914-4990
Phone
(401) 585-4560
Fax
(845) 840-1371
NPI assigned
May 24, 2011
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN00553 RI Primary
Registered Dietitian 133V00000X 2246 MA
Registered Dietitian 133V00000X ND11059 FL

Addresses

Primary practice location

1409 S Broadway
East Providence, RI 02914-4990

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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120110000246 RI Practitioner - Registered Dietitian Or Nutrition Professional 5991971129 Reassigns benefits to 1 organization
I20230328000527 FL Practitioner - Registered Dietitian Or Nutrition Professional 5991971129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Augusta St
Providence, RI 02908-1501
Phone (401) 585-4560

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2246MAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifefit Nutrition LLC Dietitian, Registered CurrentSince Apr 2, 2021 Accepting new patients
Healthwayri,Inc. PastSince Dec 5, 2017 Accepting new patients
Mrsrd, LLC PastSince Aug 2, 2012 Accepting new patients
Associates in Nutrition Dietitian, Registered PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1033402003",
    "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": "1409 S BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144990",
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00553",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2246",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND11059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.