Rhode Island Nutrition Therapy, LLC
Organization Active NPI Registered Dietitian · North Kingstown, RI
NPI 1104365212 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1104365212
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN00792 (RI)
- Legal business name
- RHODE ISLAND NUTRITION THERAPY, LLC
- Practice address
- 1130 Ten Rod Rd Ste B203
North Kingstown, RI 02852-4165 - Phone
- (401) 398-2454
- Fax
- (401) 633-6956
- NPI assigned
- Feb 22, 2017
- Organization subpart
- No
Authorized official
- Name
- Wendy Hackleman Leonard, RDN
- Title
- Ceo and Founder
- Phone
- (401) 398-2454
Practitioners 6
-
Elizabeth Colgan, RDN
-
Annie Dupre, RDN, LDN
-
Anne K Fugere, RDN, LDN, CLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170330001508 | RI | Part B Supplier - Clinic/Group Practice | 5193000354 |
Receives reassigned benefits from 1 practitioner Practice locations: North Kingstown, RI |
| O20230501002432 | RI | MDPP Supplier - in-Person MDPP Supplier | 5193000354 | Practice locations: North Kingstown, RI |
National Provider Directory
Locations
2843 S County Trl
East Greenwich, RI 02818
Phone (401) 398-7727
320 Phillips St
Ste 230
North Kingstown, RI 02852
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | LDN00792 | RI | Yes |
Addresses
Primary practice location
1130 Ten Rod Rd Ste B203
North Kingstown, RI 02852-4165
Mailing address
330 Cowesett Rd
Warwick, RI 02886-8536
Phone (401) 398-2454
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wendy@rinutritiontherapy.com | Direct |
Other providers in North Kingstown, RI
- Heather Dawn Rheaume
- Rhode Eyeland LLC
- Rhode Island Coaching & Psychology Services, LLC
- Rhode Island CVS Pharmacy LLC
- Rhode Island CVS Pharmacy, L.L.C.
- Rhode Island Therapy Services
- Ri Social Work Inc
- Ri Therapy Services
- Christopher Ricard
- Ricbt, Inc.
All providers in North Kingstown, RI · Registered Dietitian in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.