Cheryl Muriel Brock, RD, LDN
Individual provider Active NPI Registered Dietitian · Smithfield, RI
NPI 1225751167 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1225751167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN00484 (RI)
- Practice address
- 1150 Douglas Pike
Smithfield, RI 02917-1291 - Phone
- (401) 232-6221
- Fax
- (401) 232-6702
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | LDN00484 | RI | Yes |
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
Other providers in Smithfield, RI
- Ellen Frances Brady
- Sarah Brais
- Peter C Brasch
- Breezy Knoll Child Care Center
- Bradley William Brink
- Megan Brunelle
- Barbara Brusini
- Stephanie Nicole Bursie
- Karl Busch
- Brett Buskey
All providers in Smithfield, 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 Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.