Individual provider Active NPI

Gabriella Rose Lasorsa, RD, LDN

  • Registered Dietitian
  • East Providence, RI
National Provider Identifier
1558096420
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN01203 Issued in RI
Practice address
450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300
Phone
(401) 396-9331
NPI assigned
Jul 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN01203 RI Primary

Addresses

Primary practice location

450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300

Mailing address

11 Forestwood Dr
Smithfield, RI 02917-2368
Phone (401) 474-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812002274 RI Practitioner - Registered Dietitian Or Nutrition Professional 6406239110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evolution Nutrition IncGroup PAC ID 2163668518, 25 clinicians

Practice addresses (Care Compare)

450 Veterans Memorial Pkwy
Suite 8C
East Providence, RI 02914-5300
Phone (401) 396-9331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Nutrition Inc. Dietitian, Registered CurrentSince Jul 24, 2022 Accepting new patients

Locations

450 Veterans Memorial Pkwy
Ste 8C
East Providence, RI 02914
Phone (401) 396-9331

450 Veterans Memorial Pkwy
East Providence, RI 02914
Phone (401) 431-0080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1558096420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FORESTWOOD DR",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172368",
            "telephone_number": "401-474-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY STE 8C",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-396-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASORSA",
        "first_name": "GABRIELLA",
        "middle_name": "ROSE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.

Verify at the official NPI Registry.