Active NPI
Nicole Chen, RD, LDN
- Registered Dietitian
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00580
- Practice address
- 383 W Fountain St # 115
Providence, RI 02903-3515 - Phone
- (401) 297-3256
- NPI assigned
- Oct 18, 2024
- Last updated
- Oct 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00580 | RI | Primary |
Addresses
Primary practice location
383 W Fountain St # 115
Providence, RI 02903-3515
Mailing address
20 Boesch Farm Rd
East Greenwich, RI 02818-1459
Other practice location 1
2220 Plainfield Pike
Cranston, RI 02921-2031
Phone (401) 529-2579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2220 Plainfield Pike
Suite 100
Cranston, RI 02921-2001
Phone (401) 297-3256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honest Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Keepcare LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
2220 Plainfield Pike
Cranston, RI 02921
Phone (401) 383-3400
2220 Plainfield Pike
Ste 100
Cranston, RI 02921
Phone (401) 297-3256
383 W Fountain St
#115
Providence, RI 02903
Phone (401) 297-3256
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, 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": "1729209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1750102240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BOESCH FARM RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 W FOUNTAIN ST # 115",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029033515",
"telephone_number": "401-297-3256"
}
],
"practiceLocations": [
{
"address_1": "2220 Plainfield Pike",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029212031",
"country_code": "US",
"telephone_number": "401-529-2579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "NICOLE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00580",
"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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.