Mary Broe, RD, LDN
Individual provider Active NPI Registered Dietitian · North Scituate, RI
NPI 1194142919 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1194142919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN00759 (RI)
- Practice address
- 11 Paris Irons Rd
North Scituate, RI 02857-2838 - Phone
- (240) 678-9366
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11 Paris Irons Rd
North Scituate, RI 02857-2838
Phone (401) 992-4262
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171024000946 | RI | Practitioner - Registered Dietitian Or Nutrition Professional | 0648546473 | Practice locations: North Scituate, RI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Frances Broe | Dietitian, Registered | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00759 | RI | Yes |
Addresses
Primary practice location
11 Paris Irons Rd
North Scituate, RI 02857-2838
Mailing address
167 Point St
Providence, RI 02903-4771
Phone (401) 444-5640
Other providers in North Scituate, RI
- Apple Valley Alarms LLC
- Back to Normal II LLC
- Kelly Marie Baker
- James Albert Balukjian
- Lynn A Butler
- Peter Graham Campbell
- Marcus Brian Capalbo
- Jessica Carello
- James Carl Caron
All providers in North Scituate, 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 Jul 21, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.