Active NPI
Rachel Harris, MS RD CSP CNSC LDN
- Registered Dietitian
- Providence, RI
National Provider Identifier
1073825691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 749
- Practice address
- 101 Dudley St
Providence, RI 02905-2401 - Phone
- (401) 274-1122
- NPI assigned
- Jul 12, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 749 | RI | Primary |
| Registered Dietitian | 133V00000X | 3502 | MA |
Addresses
Primary practice location
101 Dudley St
Providence, RI 02905-2401
Mailing address
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3502 | MA | MD | Registered Dietitian |
| 749 | RI | MD | Registered Dietitian |
| 006994 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1073825691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DUDLEY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DUDLEY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "RACHEL",
"credential": "MS RD CSP CNSC LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "749",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3502",
"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 Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.