Active NPI
Nicolette Fraza, M.S., RD, LDN
- Registered Dietitian
- Warwick, RI
National Provider Identifier
1215204698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3205
- Practice address
- 37 General Hawkinds Dr
Warwick, RI 02888 - Phone
- (401) 527-8251
- NPI assigned
- Nov 29, 2011
- 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 | 3205 | MA | Primary |
Addresses
Primary practice location
37 General Hawkinds Dr
Warwick, RI 02888
Mailing address
37 General Hawkins Dr
Warwick, RI 02888-4941
Phone (401) 527-8251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 22, 2024 through Nov 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1215204698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 GENERAL HAWKINS DR",
"city": "WARWICK",
"state": "RI",
"postal_code": "028884941",
"telephone_number": "401-527-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 GENERAL HAWKINDS DR",
"city": "WARWICK",
"state": "RI",
"postal_code": "02888",
"telephone_number": "401-527-8251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZA",
"first_name": "NICOLETTE",
"credential": "M.S., RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.