Active NPI
Jason P Oliveira, RD, LDN
- Registered Dietitian
- Providence, RI
National Provider Identifier
1033402003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00553
- Practice address
- 67 Durham St
Providence, RI 02908-1522 - Phone
- (401) 585-4560
- Fax
- (845) 840-1371
- NPI assigned
- May 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Registered Dietitian
- Providence, RI
- NPI 1013597764
Dietitian, Registered, FL, RI
-
- Internal Medicine Physician
- Cranston, RI
- NPI 1376675470
-
- Point of Service
- Milford, NH
- NPI 1598018467
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2246 | MA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifefit Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Mrsrd, LLC | Past | Accepting new patients | |
| Healthwayri,Inc. | Past | Accepting new patients | |
| Associates in Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00553 | RI | Primary |
| Registered Dietitian | 133V00000X | 2246 | MA | |
| Registered Dietitian | 133V00000X | ND11059 | FL |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2026.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"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": "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",
"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": "2026-05-12",
"certification_date": "2026-05-12",
"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 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.
- 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.