Individual provider Active NPI

Michelle Marie Lamoureux, RD, LDN

  • Registered Dietitian
  • Providence, RI
National Provider Identifier
1760574099
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00479 Issued in RI
Practice address
134 Thurbers Ave
C/O Family Service of Rhode Island
Providence, RI 02905
Phone
(401) 331-1350
Fax
(401) 277-3366
NPI assigned
Sep 28, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN00479 RI Primary
Registered Dietitian 133V00000X 2190 MA

Addresses

Primary practice location

134 Thurbers Ave
C/O Family Service of Rhode Island
Providence, RI 02905

Mailing address

7 Teaberry LN
Johnston, RI 02919-7305
Phone (401) 331-1350

Other practice location 1

41 Sanderson Rd Ste 201
Smithfield, RI 02917-2603
Phone (401) 595-5407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120324000035 RI Practitioner - Registered Dietitian Or Nutrition Professional 2062672306 Reassigns benefits to 1 organization
Practice locations: Smithfield, RI

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Center and Walk-in LLCGroup PAC ID 1951521079, 6 clinicians

Practice addresses (Care Compare)

684 Warren Ave
East Providence, RI 02914-1405
Phone (401) 434-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LDN00479RIMDRegistered Dietitian
2190MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Center and Walk-in LLC CurrentSince Feb 28, 2017 Accepting new patients
Primary Walk-in Medical Urgent Care LLC CurrentSince Oct 3, 2018 Accepting new patients
East Coast Nutrition Concepts LLC Dietitian, Registered Current Accepting new patients
Family Service of Rhode Island Inc. Past Accepting new patients

Locations

684 Warren Ave
East Providence, RI 02914
Phone (401) 434-0022

41 Sanderson Rd
Ste 201
Smithfield, RI 02917
Phone (401) 253-3710

Organizations & group practices 4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1760574099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TEABERRY LN",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197305",
            "telephone_number": "401-331-1350",
            "fax_number": "401-277-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 THURBERS AVE",
            "address_2": "C/O FAMILY SERVICE OF RHODE ISLAND",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02905",
            "telephone_number": "401-331-1350",
            "fax_number": "401-277-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Sanderson Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172603",
            "country_code": "US",
            "telephone_number": "401-595-5407",
            "fax_number": "401-434-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMOUREUX",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00479",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2190",
            "primary": false
        }
    ],
    "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 4, 2026; 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.