Organization Active NPI

Courtney B Huard Ms Rd LDN, LLC

  • Registered Dietitian
  • Cumberland, RI
National Provider Identifier
1417609751
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
COURTNEY B HUARD MS RD LDN, LLC
Practice address
655 Mendon Rd Ste 2C
Cumberland, RI 02864-6222
Phone
(401) 808-9574
Fax
(401) 305-3137
NPI assigned
Jan 18, 2022
Last updated
Jan 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Courtney B Huard, MS RD LDN
Title
Owner
Phone
(401) 808-9574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

655 Mendon Rd Ste 2C
Cumberland, RI 02864-6222

Mailing address

655 Mendon Rd Ste 2C
Cumberland, RI 02864-6222

Other practice location 1

154 Waterman St
Suite 6- First Floor
Providence, RI 02906
Phone (401) 808-9574

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

National Provider Directory

National Provider Directory

Locations

655 Mendon Rd
Ste 2C
Cumberland, RI 02864
Phone (401) 808-9574

154 Waterman St
Ste 6
Providence, RI 02906
Phone (401) 808-9574

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1417609751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MENDON RD STE 2C",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MENDON RD STE 2C",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646222",
            "telephone_number": "401-808-9574",
            "fax_number": "401-305-3137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Waterman St",
            "address_2": "Suite 6- First Floor",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02906",
            "country_code": "US",
            "telephone_number": "401-808-9574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COURTNEY B HUARD MS RD LDN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "HUARD",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-808-9574",
        "authorized_official_credential": "MS RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "655 Mendon Rd Ste 2C",
            "city": "Cumberland",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028646222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.