Active NPI
Stephanie S Nicol, MS, RD, LDN, CDN
- Registered Dietitian
- Wakefield, RI
National Provider Identifier
1093310229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86174930
- Practice address
- 24 Salt Pond Rd Ste H5
Wakefield, RI 02879-4337 - Phone
- (401) 360-6477
- Fax
- (401) 522-6062
- NPI assigned
- Dec 4, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86174930 | RI | Primary |
Addresses
Primary practice location
24 Salt Pond Rd Ste H5
Wakefield, RI 02879-4337
Mailing address
35 Old Fitch Hill Rd Apt 9
Uncasville, CT 06382-1000
Phone (401) 363-2546
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86174930 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hungry for Health Nutrition Counseling, LLC | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- South Kingstown, RI
- NPI 1790430387
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666396800000",
"number": "1093310229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 OLD FITCH HILL RD APT 9",
"city": "UNCASVILLE",
"state": "CT",
"postal_code": "063821000",
"telephone_number": "401-363-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SALT POND RD STE H5",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794337",
"telephone_number": "401-360-6477",
"fax_number": "401-522-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOL",
"first_name": "STEPHANIE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MS, RD, LDN, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2022-10-22",
"certification_date": "2022-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "86174930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.