Brooke Loren Cherko, RD
Individual provider Active NPI Registered Dietitian · Providence, RI
NPI 1396989844 · NPPES record last updated Apr 28, 2009
Key facts
- NPI
- 1396989844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1001265
- Practice address
- 830 Chalkstone Ave
Providence, RI 02908-4734 - Phone
- (401) 273-7100
- Fax
- (401) 525-2523
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1001265 | Yes |
Addresses
Primary practice location
830 Chalkstone Ave
Providence, RI 02908-4734
Mailing address
830 Chalkstone Ave
Providence, RI 02908-4734
Phone (401) 273-7100
Other providers in Providence, RI
- Mark Louis Chenot
- Katie Cherenzia
- Adel Chergui
- Elizabeth Marie Cherinka
- Leonid Cherkassky
- Artur Chernoguz
- Susan Joy Chernov
- Stephanie Lynn Cheves
- Ashley Cheviot
- Ammara Sophia Chhoy
All providers in Providence, 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 Apr 28, 2009. 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.