Active NPI
Tanya Kay Solberg, MS, RD, LDN, CDOE
- Registered Dietitian
- Pawtucket, RI
National Provider Identifier
1063422673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00452
- Practice address
- 727 East Ave
Pawtucket, RI 02860-6185 - Phone
- (401) 725-6160
- Fax
- (401) 722-5430
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00452 | RI | Primary |
Addresses
Primary practice location
727 East Ave
Pawtucket, RI 02860-6185
Mailing address
10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6400144 | Other | RI | PT/OT UHP NUMBER |
| ES01788 | Medicaid | RI | |
| 2092 | Other | RI | EI NHPRC NUMBER |
| 412296 | Other | RI | EI BCHIP NUMBER |
| 292177 | Other | RI | EI BLUE CROSS NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tsolberg220886@direct.lifespan.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
727 E Ave
Pawtucket, RI 02860-6185
Phone (401) 725-6160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Physicians, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Coastal Medical Physicians, Inc. | Current | Accepting new patients | |
| Diabetes Education Partners of Rhode Island | Current | Accepting new patients | |
| Meeting Street Center | Past | Accepting new patients | |
| Coastal Medical, Inc. | Past | Accepting new patients | |
| Hillside Family and Community Medicine, LLC | Past | Accepting new patients |
Locations
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
727 East Ave
Pawtucket, RI 02860
Phone (401) 724-6800
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
Dietitian, Registered
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
-
- Nutrition Education Nutritionist
- Cranston, RI
- NPI 1154653541
-
- Non-Pharmacy Dispensing Site
- East Providence, RI
- NPI 1144361718
-
- Family Medicine Physician
- Pawtucket, RI
- NPI 1063501864
-
- Early Intervention Provider Agency
- Providence, RI
- NPI 1720014442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1063422673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DAVOL SQ",
"address_2": "SUITE 400",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034754",
"telephone_number": "401-421-4000",
"fax_number": "401-272-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 EAST AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606185",
"telephone_number": "401-725-6160",
"fax_number": "401-722-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLBERG",
"first_name": "TANYA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN, CDOE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT/OT UHP NUMBER",
"identifier": "6400144",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ES01788",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI NHPRC NUMBER",
"identifier": "2092",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI BCHIP NUMBER",
"identifier": "412296",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EI BLUE CROSS NUMBER",
"identifier": "292177",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsolberg220886@direct.lifespan.org",
"affiliation": "N",
"address_1": "727 East Ave",
"city": "Pawtucket",
"state": "RI",
"country_code": "US",
"postal_code": "028606185",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.