Active NPI
Push Nutrition Coaching, LLC
- Registered Dietitian
- Coventry, RI
National Provider Identifier
1235650011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00118
- Legal business name
- PUSH NUTRITION COACHING, LLC
- Practice address
- 6 Grandview St
Coventry, RI 02816-4116 - Phone
- (401) 473-7644
- NPI assigned
- Jun 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah Spellman, RD, LDN, CDOE
- Title
- Clinical Nutrition Specialist
- Phone
- (401) 610-0301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00118 | RI | Primary |
Addresses
Primary practice location
6 Grandview St
Coventry, RI 02816-4116
Mailing address
6 Grandview St
Coventry, RI 02816-4116
Phone (401) 610-0301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6 Grandview St
Coventry, RI 02816
Phone (401) 473-7644
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": "1498780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509408000000",
"number": "1235650011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GRANDVIEW ST",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028164116",
"telephone_number": "401-610-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GRANDVIEW ST",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028164116",
"telephone_number": "401-473-7644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUSH NUTRITION COACHING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-30",
"last_updated": "2017-10-31",
"status": "A",
"authorized_official_last_name": "SPELLMAN",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "CLINICAL NUTRITION SPECIALIST",
"authorized_official_telephone_number": "401-610-0301",
"authorized_official_credential": "RD, LDN, CDOE"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coventry, RI
- Primary Colors Children'S Centre
- Promptcare New England Respiratory, LLC
- Prospect Chartercare RWMC, LLC
- Prytula Eye Associates Inc
- Liane Carley Prytula, O.D.
- Py Medical Services of Ri PC
- Katarina Victoria Rachiele, PHARMD
- Sharon Rapoza, RN, BSN, IBCLC, RLC
- Robert Anthony Rattenni, MA COUNSELING
- Patricia S Read, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.