Nicole Chen, RD, LDN
Individual provider Active NPI Registered Dietitian · Providence, RI
NPI 1750102240 · NPPES record last updated Oct 18, 2024
Key facts
- NPI
- 1750102240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN00580 (RI)
- Practice address
- 383 W Fountain St # 115
Providence, RI 02903-3515 - Phone
- (401) 297-3256
- NPI assigned
- Oct 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Honest Nutrition
Practice addresses (Care Compare)
2220 Plainfield Pike
Suite 100
Cranston, RI 02921-2001
Phone (401) 297-3256
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241122000623 | RI | Practitioner - Registered Dietitian Or Nutrition Professional | 4688109028 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
Ste 100
Cranston, RI 02921
Phone (401) 297-3256
2220 Plainfield Pike
Cranston, RI 02921
Phone (401) 383-3400
383 W Fountain St
#115
Providence, RI 02903
Phone (401) 297-3256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00580 | RI | Yes |
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
Other providers in Providence, RI
- Edward Weisheng Chen
- Eric Chen
- Eric Jiin-Ruey Chen
- Jessica Chen
- Kenneth K Chen
- Sherry Chen
- Tzong-Huei Herbert Chen
- Wendy Shih-Wen Chen
- William T. Chen
- Liang Cheng
All providers in Providence, RI · Registered Dietitian in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.