Active NPI
Pivot Nutrition, LLC
- Registered Dietitian
- Providence, RI
National Provider Identifier
1760122725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- PIVOT NUTRITION, LLC
- Practice address
- 145 Elmgrove Ave
Providence, RI 02906-4230 - Phone
- (401) 575-1885
- NPI assigned
- Mar 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura E Kilcline, MS, RD, LDN
- Title
- Owner, Registered Dietitian
- Phone
- (401) 575-1885
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
145 Elmgrove Ave
Providence, RI 02906-4230
Mailing address
145 Elmgrove Ave
Providence, RI 02906-4230
Phone (401) 575-1885
National Provider Directory
National Provider DirectoryLocations
145 Elmgrove Ave
Providence, RI 02906
Phone (401) 450-2903
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Providence, RI
- NPI 1316411341
Dietitian, Registered
-
- Registered Dietitian
- Providence, RI
- NPI 1780463315
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1760122725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 ELMGROVE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064230",
"telephone_number": "401-575-1885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 ELMGROVE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064230",
"telephone_number": "401-575-1885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIVOT NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "KILCLINE",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
"authorized_official_telephone_number": "401-575-1885",
"authorized_official_credential": "MS, RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.