Active NPI
Cheryl Muriel Brock, RD, LDN
- Registered Dietitian
- Smithfield, RI
National Provider Identifier
1225751167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00484
- Practice address
- 1150 Douglas Pike
Smithfield, RI 02917-1291 - Phone
- (401) 232-6221
- Fax
- (401) 232-6702
- NPI assigned
- Sep 26, 2022
- Last updated
- Sep 26, 2022
- 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 | LDN00484 | RI | Primary |
Addresses
Primary practice location
1150 Douglas Pike
Smithfield, RI 02917-1291
Mailing address
52 Whispering Pine TRL
Wakefield, RI 02879-4544
Phone (401) 474-5850
Other practice location 1
110 Main St
East Greenwich, RI 02818-3880
Phone (917) 797-8938
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN00484 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rachel Tenuta Rd | Dietitian, Registered | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1225751167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 WHISPERING PINE TRL",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794544",
"telephone_number": "401-474-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 DOUGLAS PIKE",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029171291",
"telephone_number": "401-232-6221",
"fax_number": "401-232-6702"
}
],
"practiceLocations": [
{
"address_1": "110 Main St",
"address_purpose": "LOCATION",
"city": "East Greenwich",
"state": "RI",
"postal_code": "028183880",
"country_code": "US",
"telephone_number": "917-797-8938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCK",
"first_name": "CHERYL",
"middle_name": "MURIEL",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.