Individual provider Active NPI

Laura Ann Filippelli-Tedeschi

  • Registered Dietitian
  • Cranston, RI
National Provider Identifier
1871219196
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00009 Issued in RI
Practice address
1170 Pontiac Ave
Cranston, RI 02920-7944
Phone
(401) 500-0424
Fax
(401) 296-3998
NPI assigned
Oct 18, 2022
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 LDN4636 MA
Registered Dietitian 133V00000X LDN00009 RI Primary

Addresses

Primary practice location

1170 Pontiac Ave
Cranston, RI 02920-7944

Mailing address

47 Danielson Pike
North Scituate, RI 02857-1892
Phone (401) 258-5419

Other practice location 1

333 Union St
New Bedford, MA 02740-3665
Phone (617) 671-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221208000710 RI Practitioner - Registered Dietitian Or Nutrition Professional 8820467111 Reassigns benefits to 2 organizations
I20240717000587 MA Practitioner - Registered Dietitian Or Nutrition Professional 8820467111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South County Psychiatry LLCGroup PAC ID 4880021658, 28 clinicians

Practice addresses (Care Compare)

1170 Pontiac Ave
Cranston, RI 02920-7944
Phone (401) 268-5333

420 Scrabbletown Rd
Suite a
North Kingstown, RI 02852-3638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatry LLC Dietitian, Registered CurrentSince Apr 29, 2024 Accepting new patients
Lifespan Physician Group, Inc. Dietitian, Registered CurrentSince Sep 12, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Linda M Palmer, Aprn, BC, LLC Past Accepting new patients

Locations

333 Union St
New Bedford, MA 02740
Phone (508) 990-0777

52 Brigham St
Ste 5
New Bedford, MA 02740
Phone (508) 993-8332

1170 Pontiac Ave
Cranston, RI 02920
Phone (401) 500-0424

420 Scrabbletown Rd
Ste A
North Kingstown, RI 02852
Phone (401) 268-5333

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

47 Danielson Pike
North Scituate, RI 02857
Phone (401) 258-5419

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

148 W River St
Ste 1G
Providence, RI 02904
Phone (401) 793-7817

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1871219196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DANIELSON PIKE",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571892",
            "telephone_number": "401-258-5419",
            "fax_number": "401-296-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-500-0424",
            "fax_number": "401-296-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Union St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027403665",
            "country_code": "US",
            "telephone_number": "617-671-0728",
            "fax_number": "855-268-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILIPPELLI-TEDESCHI",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN4636",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.