LYNN ELLEN PRZYSTAC


Address: 101 Dudley St Dept Of, Providence, RI 02905-2499
Phone: 4012741122

LYNN ELLEN PRZYSTAC (NPI# 1104452747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104452747
Entity Type Individual
Full Name LYNN ELLEN PRZYSTAC
Credential RDN, LDN
Practice Address 101 Dudley St Dept Of
Providence
RI 02905-2499
Practice Telephone 4012741122
Practice Fax Number 4014537572
Mailing Telephone 4012741122
Mailing Fax Number 4014537572
Enumeration Date 2020-03-16
Last Update Date 2020-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LDN00217 RI Dietary & Nutritional Service Providers

Office Location

Street Address 101 DUDLEY ST DEPT OF
City PROVIDENCE
State RI
Zip Code 02905-2499

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
1891265443 Carolyn Te Young Pathology 1320 Narragansett Blvd, Cranston, RI 02905 2018-11-27
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1922577394 Dilenia C Cruz Health Educator 335r Prairie Ave., Suite 2b, Providence, RI 02905 2018-11-15
1639653116 Varina S. Gunn Health Educator 335r Prarie Ave., Suite 2b, Providence, RI 02905 2018-09-20
1427590421 Cardea Healthcare LLC In Home Supportive Care 100 Pavilion Avenue, Suite 101, Providence, RI 02905 2016-11-08
1265884597 Maxwell King Physical Therapy Assistant 48 Moorland Avenue, Cranston, RI 02905 2016-07-11
1346698024 Samantha Lea Colli Physician Assistant 100 Dudley St Fl 3, Providence, RI 02905 2016-06-02
1346697448 Amy Jean Simpson Marriage & Family Therapist 1981 Broad Street, Cranston, RI 02905 2016-05-18
Find all providers in zip 02905

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417427071 Julianne Elizabeth Houtchens Dietitian, Registered Adult Primary Care 245 Chapman Street, Providence, RI 02905 2018-11-27
1023562501 Julia E. Berman Dietitian, Registered 114 11th St, Providence, RI 02906-2912 2016-08-12
1871989137 Shira Hirshberg Dietitian, Registered 271a S Main St, Providence, RI 02903-2910 2015-04-13
1336553643 Seven Peas, LLC Dietitian, Registered 219 W Park St, Providence, RI 02908-4851 2014-06-13
1598195497 Shira Hirshberg Dietitian, Registered 383 W Fountain St Ste 105, Providence, RI 02903-3515 2013-11-14
1245582477 Healthy Ever After LLC Dietitian, Registered 438 Broadway, Providence, RI 02909-1622 2012-10-11
1033419858 Randi Konikoff Beranbaum Dietitian, Registered 5 Wingate Rd, Providence, RI 02906-4909 2010-10-26
1619201985 Diana Rose Beaton Dietitian, Registered 325 Angell St, Providence, RI 02906 2009-09-19
1154654788 Elizabeth F Fayram Dietitian, Registered 1 Richmond Sq Ste 158e, Providence, RI 02906-5141 2009-09-15
1245451152 Roslyn D Grant Dietitian, Registered 444 Westminster Street, Providence, RI 02903-3279 2007-05-01
Find all providers in PROVIDENCE

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City PROVIDENCE
Zip Code 02905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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