Maeve Guidera, MBA, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN01211 Issued in RI

Practice address

145 Elmgrove Ave
Providence, RI 02906-4230

Phone

(401) 575-1885

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pivot Nutrition, LLC

  • Registered Dietitian
  • Providence, RI
  • NPI 1760122725

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1780463315",
    "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"
        },
        {
            "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": {
        "last_name": "GUIDERA",
        "first_name": "MAEVE",
        "credential": "MBA, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "2239",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Guerra-Mondragon, CRNA
• Alma Melina Guerrero Bready, M.D.
• Rachel M Guerrero, LICSW
• Rafael Guevarez, RN
• Guidelight Health Services, LLC
• Jessica Lynne Guidi, M.D.
• Joseph J Guido, ED.D
• Thomas J Guilmette
• Fallon D Guin, PA-S
• Guitart Counseling Solutions LLC

• Registered Dietitian in Providence, RI
• Providers in Providence, RI by specialty
• Registered Dietitian in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.