Active NPI
Linna Douk, RDN
- Registered Dietitian
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN01167
- Practice address
- 111 Plain St
Providence, RI 02903-4816 - Phone
- (401) 444-5426
- NPI assigned
- Mar 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | LDN01167 | RI | |
| Registered Dietitian | 133V00000X | LDN01167 | RI | Primary |
Addresses
Primary practice location
111 Plain St
Providence, RI 02903-4816
Mailing address
117 Ellenfield St
Providence, RI 02905-4541
Phone (401) 444-5460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN01167 | RI | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Dietitian, Registered | Current | Accepting new patients |
| Rhode Island Hospital | Past | Accepting new patients | |
| The Miriam Hospital | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
111 Plain St
Fl 2
Providence, RI 02903
Phone (401) 444-1770
117 Ellenfield St
Providence, RI 02905
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
111 Plain St
Fl 3
Providence, RI 02903
Phone (401) 444-3355
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Providence, RI
- NPI 1962844795
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1396322954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-5460",
"fax_number": "401-444-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PLAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034816",
"telephone_number": "401-444-5426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUK",
"first_name": "LINNA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-28",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "RI",
"license": "LDN01167",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN01167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.