Organization Active NPI

Nutrition, Inc.

  • Registered Dietitian
  • East Providence, RI
National Provider Identifier
1114127982
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00550 Issued in RI
Legal business name
NUTRITION, INC.
Practice address
525 Taunton Ave
East Providence, RI 02914-1603
Phone
(401) 490-0900
Fax
(401) 490-0975
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Gagliardi, MS, RD, CDE, CDOE
Title
Owner
Phone
(401) 490-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LDN00550 RI Primary

Addresses

Primary practice location

525 Taunton Ave
East Providence, RI 02914-1603

Mailing address

525 Taunton Ave
East Providence, RI 02914-1603
Phone (401) 490-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000281 RI Part B Supplier - Clinic/Group Practice 1951484302 Receives reassigned benefits from 1 practitioner
Practice locations: East Greenwich, RI; East Providence, RI

National Provider Directory

National Provider Directory

Locations

1351 S County Trl
Ste 115
East Greenwich, RI 02818
Phone (401) 884-0333

525 Taunton Ave
East Providence, RI 02914
Phone (401) 438-3170

525 Taunton Ave
Ste 300
East Providence, RI 02914
Phone (401) 490-0900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1114127982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TAUNTON AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141603",
            "telephone_number": "401-490-0900",
            "fax_number": "401-490-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TAUNTON AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141603",
            "telephone_number": "401-490-0900",
            "fax_number": "401-490-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-490-0900",
        "authorized_official_credential": "MS, RD, CDE, CDOE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.