Active NPI
Pamela Rand, RD, LDN, CDOE, RYT
- Registered Dietitian
- Peace Dale, RI
National Provider Identifier
1356416515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 51
- Practice address
- 1167 Kingstown Rd Unit 3
Peace Dale, RI 02879-7902 - Phone
- (401) 295-4003
- Fax
- (401) 783-4428
- NPI assigned
- Nov 22, 2006
- Last updated
- Mar 26, 2018
- 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 | 51 | RI | Primary |
Addresses
Primary practice location
1167 Kingstown Rd Unit 3
Peace Dale, RI 02879-7902
Mailing address
1167 Kingstown Rd Unit 3
Peace Dale, RI 02879-7902
Phone (401) 295-4003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402791 | Other | RI | BLUE CHIP |
| 254296 | Other | RI | BCBS |
| 6300059 | Other | RI | UHP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51 | RI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Institute of New England PC | 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.
-
- Cardiovascular Disease Physician
- Lincoln, RI
- NPI 1699923656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1356416515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 KINGSTOWN RD UNIT 3",
"city": "PEACE DALE",
"state": "RI",
"postal_code": "028797902",
"telephone_number": "401-295-4003",
"fax_number": "401-783-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 KINGSTOWN RD UNIT 3",
"city": "PEACE DALE",
"state": "RI",
"postal_code": "028797902",
"telephone_number": "401-295-4003",
"fax_number": "401-783-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAND",
"first_name": "PAMELA",
"credential": "RD, LDN, CDOE, RYT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "51",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "402791",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "254296",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP",
"identifier": "6300059",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peace Dale, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.