Individual provider Active NPI

Shira Hirshberg, R.D.N.

  • Registered Dietitian
  • Providence, RI
National Provider Identifier
1598195497
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00768 Issued in RI
Practice address
383 W Fountain St Ste 105
Providence, RI 02903-3515
Phone
(401) 617-9485
Fax
(888) 317-1148
NPI assigned
Nov 14, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3566 MA
Registered Dietitian 133V00000X LDN00768 RI Primary

Addresses

Primary practice location

383 W Fountain St Ste 105
Providence, RI 02903-3515

Mailing address

383 W Fountain St Ste 105
Providence, RI 02903-3515
Phone (401) 617-9485

Other practice location 1

20 Patriot Pl
Foxboro, MA 02035-1375
Phone (508) 718-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3566MAMDRegistered Dietitian
LDN00768RIMDRegistered Dietitian

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598195497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 W FOUNTAIN ST STE 105",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033515",
            "telephone_number": "401-617-9485",
            "fax_number": "888-317-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 W FOUNTAIN ST STE 105",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033515",
            "telephone_number": "401-617-9485",
            "fax_number": "888-317-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Patriot Pl",
            "address_purpose": "LOCATION",
            "city": "Foxboro",
            "state": "MA",
            "postal_code": "020351375",
            "country_code": "US",
            "telephone_number": "508-718-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRSHBERG",
        "first_name": "SHIRA",
        "credential": "R.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3566",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00768",
            "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 Mar 17, 2018; 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.