Active NPI
Thrivewell LLC
- Registered Dietitian
- Newport, RI
National Provider Identifier
1598513202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- THRIVEWELL LLC
- Practice address
- 45 Pope Street
Newport, RI 02840 - Phone
- (413) 329-7026
- NPI assigned
- May 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Chausse, MS RDN LDN IFNCP
- Title
- Owner
- Phone
- (413) 329-7026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
45 Pope Street
Newport, RI 02840
Mailing address
270 Bellevue Ave Ste 304
Newport, RI 02840-3516
Phone (413) 329-7026
Other names 1
- The Local Mix LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- North Kingstown, RI
- NPI 1922666031
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1598513202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 BELLEVUE AVE STE 304",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028403516",
"telephone_number": "413-329-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 POPE STREET",
"city": "NEWPORT",
"state": "RI",
"postal_code": "02840",
"telephone_number": "413-329-7026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVEWELL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "CHAUSSE",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "413-329-7026",
"authorized_official_credential": "MS RDN LDN IFNCP"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Local Mix LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.