Active NPI
Siqian Chen, RD
- Registered Dietitian
- Fall River, MA
National Provider Identifier
1619699055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN6792
- Practice address
- 301 Milliken Blvd Apt 201
Fall River, MA 02721-1605 - Phone
- (646) 598-3457
- Fax
- (888) 370-1981
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | LDN01180 | RI | |
| Registered Dietitian | 133V00000X | LDN6792 | MA | Primary |
Addresses
Primary practice location
301 Milliken Blvd Apt 201
Fall River, MA 02721-1605
Mailing address
3347 213TH St
Bayside, NY 11361-1560
Phone (929) 777-4933
Other practice location 1
3347 213th St
Bayside, NY 11361-1560
Phone (929) 777-4933
Other practice location 2
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-7152
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LDN01180 | Other | RI | LICENSED DIETITIAN NUTRITIONIST |
| LDN6792 | Other | MA | LICENSED DIETITIAN NUTRITIONIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LDN6792 | MA | MD | Registered Dietitian |
| LDN01180 | RI | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutriall Wellness Center LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1619699055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3347 213TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611560",
"telephone_number": "929-777-4933",
"fax_number": "888-370-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MILLIKEN BLVD APT 201",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211605",
"telephone_number": "646-598-3457",
"fax_number": "888-370-1981"
}
],
"practiceLocations": [
{
"address_1": "3347 213th St",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113611560",
"country_code": "US",
"telephone_number": "929-777-4933",
"fax_number": "888-370-1981",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-7152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "SIQIAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "RI",
"license": "LDN01180",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN6792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN NUTRITIONIST",
"identifier": "LDN01180",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN NUTRITIONIST",
"identifier": "LDN6792",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.