Individual provider Active NPI

Kristina Seixas, RD

  • Registered Dietitian
  • East Providence, RI
National Provider Identifier
1770958688
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00818 Issued in RI
Practice address
450 Veterans Memorial Pkwy
Ste 8C
East Providence, RI 02914-5300
Phone
(401) 396-9331
Fax
(401) 396-9369
NPI assigned
Dec 3, 2015
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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 LDN00818 RI Primary

Addresses

Primary practice location

450 Veterans Memorial Pkwy
Ste 8C
East Providence, RI 02914-5300

Mailing address

450 Veterans Memorial Pkwy
Ste 8C
East Providence, RI 02914-5300
Phone (401) 396-9331

Other names 1

  • Kristina Lopes Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170802000527 RI Practitioner - Registered Dietitian Or Nutrition Professional 5799056206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evolution Nutrition IncGroup PAC ID 2163668518, 25 clinicians

Practice addresses (Care Compare)

450 Veterans Memorial Pkwy
Suite 8C
East Providence, RI 02914-5300
Phone (401) 396-9331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LDN00818RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Nutrition Inc. Dietitian, Registered CurrentSince Jun 5, 2017 Accepting new patients
Healthwayri,Inc. PastSince Dec 5, 2017 Accepting new patients
Associates in Nutrition Dietitian, Registered PastSince Jul 24, 2022 Accepting new patients

Locations

450 Veterans Memorial Pkwy
East Providence, RI 02914
Phone (401) 431-0080

450 Veterans Memorial Pkwy
Ste 8C
East Providence, RI 02914
Phone (401) 396-9331

Organizations & group practices 3

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": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1770958688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "address_2": "STE 8C",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-396-9331",
            "fax_number": "401-396-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "address_2": "STE 8C",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-396-9331",
            "fax_number": "401-396-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIXAS",
        "first_name": "KRISTINA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "LOPES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.