Stephanie Carlile, MS, RDN, LDN

Individual provider Active NPI Registered Dietitian · Tiverton, RI

NPI 1083587273 · NPPES record last updated Sep 24, 2025

Key facts

NPI
1083587273
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LDN01146 (RI)
Practice address
16 Peckham LN
Tiverton, RI 02878-4108
Phone
(401) 480-1743
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LDN01146RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN01146 RI Yes

Addresses

Primary practice location

16 Peckham LN
Tiverton, RI 02878-4108

Mailing address

16 Peckham LN
Tiverton, RI 02878-4108
Phone (401) 480-1743

Other providers in Tiverton, RI

All providers in Tiverton, RI · Registered Dietitian in Rhode Island

Sources for this page

Verify at the official NPI Registry.