Active NPI
Kathleen Dichiara, FDN
- Nutritionist
- Lincoln, RI
National Provider Identifier
1053920223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 5 Princess Pine Rd
Lincoln, RI 02865-4729 - Phone
- (401) 654-7189
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CA | Primary |
Addresses
Primary practice location
5 Princess Pine Rd
Lincoln, RI 02865-4729
Mailing address
2019 Smith St
North Providence, RI 02911-1717
Phone (401) 400-0930
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://intakeq.com/#/messaging | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1053920223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 SMITH ST",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029111717",
"telephone_number": "401-400-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PRINCESS PINE RD",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028654729",
"telephone_number": "401-654-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICHIARA",
"first_name": "KATHLEEN",
"credential": "FDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://intakeq.com/#/messaging",
"affiliation": "N",
"endpointDescription": "Secure Messaging Portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5 Princess Pine Rd",
"city": "Lincoln",
"state": "RI",
"country_code": "US",
"postal_code": "028654729",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.