Anna Bertorelli, MBA, RD, CDE
Individual provider Active NPI Registered Dietitian · Providence, RI
NPI 1932276490 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1932276490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN00412 (RI)
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-6966
- Fax
- (401) 444-5462
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN00412 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00412 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
167 Point St
Providence, RI 02903-4771
Phone (401) 444-5640
Other providers in Providence, RI
- Thomas Francis Bertha
- George D Bertherman
- Samantha Marie Bertherman
- Alena Bertoncini
- Michael Bertoncini
- Brandon Michael Berube
- Rebecca Lynn Berube
- Barbara Frances Besachio
- Thomas Besade
- Stephen Normand Bessette
All providers in Providence, RI · Registered Dietitian in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.