Individual provider Active NPI

Siqian Chen, RD

  • Registered Dietitian
  • Fall River, MA
National Provider Identifier
1619699055
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN6792 Issued in MA
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

Updated by the provider on Jan 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LDN01180OtherRILICENSED DIETITIAN NUTRITIONIST
LDN6792OtherMALICENSED 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

LicenseStateTypeSpecialty
LDN6792MAMDRegistered Dietitian
LDN01180RIMDPediatric Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.