NPIMap

Organization Active NPI

East Providence Senior Center

Doing business as DSMT Program Health Nutrition Diabetes Office EPSC

  • Nutrition Education Nutritionist
  • East Providence, RI
National Provider Identifier
1558768663
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
EAST PROVIDENCE SENIOR CENTER
Doing business as
DSMT Program Health Nutrition Diabetes Office EPSC
Practice address
610 Waterman Ave
East Providence, RI 02914-2427
Phone
(401) 435-7800
Fax
(401) 435-7803
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF EAST PROVIDENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Robert Rock
Title
Director
Phone
(401) 435-7800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Metabolic Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1006X

Addresses

Primary practice location

610 Waterman Ave
East Providence, RI 02914-2427

Mailing address

610 Waterman Ave
East Providence, RI 02914-2427
Phone (401) 435-7800

Other names 1

  • DSMT Program Health Nutrition Diabetes Office EPSC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of East Providence5 organizations share this tax ID, including this one
Part of
City of East Providence

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1558768663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142427",
            "telephone_number": "401-435-7800",
            "fax_number": "401-435-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142427",
            "telephone_number": "401-435-7800",
            "fax_number": "401-435-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PROVIDENCE SENIOR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF EAST PROVIDENCE",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-435-7800"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSMT Program Health Nutrition Diabetes Office EPSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 4, 2014; 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.