Theresa M Jerominek, MS, RD, CDOE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN00040 Issued in RI

Practice address

1170 Pontiac Ave
Cranston, RI 02920-7944

Phone

(401) 895-9937

Fax

(401) 296-3998

NPI assigned

Nov 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• South County Psychiatry LLC

  • Psychiatry Physician
  • North Kingstown, RI
  • NPI 1003454034

  Dietitian, Registered, MA, RI

  Medicare reassignment Care Compare group NPD
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1225073638

  Dietitian, Registered, RI

  Medicare reassignment NPD
• The Miriam Hospital

  • Cardiac Rehabilitation Clinic/Center
  • East Greenwich, RI
  • NPI 1518482389
  NPD
• Linda M Palmer, Aprn, BC, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • New Bedford, MA
  • NPI 1174030340
  NPD (past)

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South County Psychiatry LLC 28 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1992877393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-895-9937"
        },
        {
            "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": "401-895-9937",
            "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": "JEROMINEK",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CDOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN7242",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "30844",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Jarvis, MASTERS
• Kevin Jarvis, PHARMD
• JDB Enterprises, LLC
• Jean Plover M D Family Practice Inc
• Krysta Jensen
• Jhung Woock Jhung, MD
• Bethania Ebenezer Jimenez Meregildo
• Tiffany Marie Jimenez, L.C.S.W.
• John a Pella M D LTD
• John S. Carroccia DDS

• All providers in Cranston, RI
• Registered Dietitian in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.