Active NPI
Mia Samantha Fishkin, MPH, RDN, LDN
- Registered Dietitian
- North Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1635 Mineral Spring Ave Ste 205
North Providence, RI 02904-4025 - Phone
- (401) 305-6602
- Fax
- (401) 305-6617
- NPI assigned
- Dec 8, 2025
- Last updated
- Mar 6, 2026
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
1635 Mineral Spring Ave Ste 205
North Providence, RI 02904-4025
Mailing address
48 Homefield Ave
Providence, RI 02908-1810
Other practice location 1
48 Homefield Ave
Providence, RI 02908-1810
Phone (862) 206-9428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 Mineral Spring Ave
Suite 205
North Providence, RI 02904-4025
Phone (401) 305-6602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Resolutions, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
1635 Mineral Spring Ave
Ste 205
North Providence, RI 02904
Phone (401) 305-6602
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.
-
- Registered Dietitian
- North Providence, RI
- NPI 1790815579
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1376406066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 HOMEFIELD AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029081810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 MINERAL SPRING AVE STE 205",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029044025",
"telephone_number": "401-305-6602",
"fax_number": "401-305-6617"
}
],
"practiceLocations": [
{
"address_1": "48 Homefield Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029081810",
"country_code": "US",
"telephone_number": "862-206-9428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHKIN",
"first_name": "MIA",
"middle_name": "SAMANTHA",
"credential": "MPH, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-08",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.