Active NPI
Kristin Lee Niessink, M.S., R.D., L.D.N.
- Registered Dietitian
- Portsmouth, RI
National Provider Identifier
1720390669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00545
- Practice address
- 162 Old Mill LN
Portsmouth, RI 02871-5100 - Phone
- (401) 368-7614
- Fax
- (401) 667-7339
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00545 | RI | Primary |
Addresses
Primary practice location
162 Old Mill LN
Portsmouth, RI 02871-5100
Mailing address
162 Old Mill LN
Portsmouth, RI 02871-5100
Phone (401) 368-7614
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN00545 | RI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1720390669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 OLD MILL LN",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028715100",
"telephone_number": "401-368-7614",
"fax_number": "401-667-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 OLD MILL LN",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028715100",
"telephone_number": "401-368-7614",
"fax_number": "401-667-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIESSINK",
"first_name": "KRISTIN",
"middle_name": "LEE",
"credential": "M.S., R.D., L.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.