Individual provider Active NPI

Nicole Chen, RD, LDN

  • Registered Dietitian
  • Providence, RI
National Provider Identifier
1750102240
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00580 Issued in RI
Practice address
383 W Fountain St # 115
Providence, RI 02903-3515
Phone
(401) 297-3256
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20241122000623 RI Practitioner - Registered Dietitian Or Nutrition Professional 4688109028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Honest NutritionGroup PAC ID 0648560888, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Honest Nutrition Dietitian, Registered CurrentSince Nov 1, 2024 Accepting new patients
Keepcare LLC Dietitian, Registered PastSince Oct 20, 2024 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.

Verify at the official NPI Registry.