KRISTEN PERRELLA (NPI# 1538669585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538669585 |
| Entity Type | Individual |
| Full Name | KRISTEN PERRELLA |
| Credential | MS, RD, LDN |
| Practice Address |
111 Plain St Providence RI 02903-4816 |
| Mailing Address |
117 Ellenfield St Providence RI 02905-4513 |
| Practice Telephone | 4014445603 |
| Practice Fax Number | 4014446360 |
| Mailing Telephone | 4014445640 |
| Mailing Fax Number | 4014445462 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
LDN00941 | RI | Dietary & Nutritional Service Providers |
| Street Address |
111 PLAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568419539 | Dominick Tammaro | Internal Medicine | 111 Plain St, 3rd Floor, Providence, RI 02903-4816 | 2006-05-27 |
| 1891274932 | Daniel Olbrych | Dietitian, Registered | 111 Plain St, Providence, RI 02903-4816 | 2018-08-09 |
| 1538106240 | Douglas L Blecker | Internal Medicine | 111 Plain St, 2nd Floor, Providence, RI 02903-4816 | 2006-06-01 |
| 1619924123 | Anne W Moulton | Internal Medicine | 111 Plain St, 3rd Floor, Providence, RI 02903-4816 | 2006-05-28 |
| 1437106382 | Laura M Ofstead | Internal Medicine | 111 Plain St, 2nd Floor, Providence, RI 02903-4816 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912924093 | Beth A Pinkos | Dietitian, Registered | 593 Eddy St # Mph-126, Providence, RI 02903-4923 | 2006-07-16 |
| 1134753841 | Elizabeth Campo | Dietitian, Registered | 101 Dudley St, Providence, RI 02905-2499 | 2020-03-03 |
| 1891274932 | Daniel Olbrych | Dietitian, Registered | 111 Plain St, Providence, RI 02903-4816 | 2018-08-09 |
| 1881106920 | Lauren Lee Gould | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2017-10-30 |
| 1154863132 | Kaitlyn Ware | Dietitian, Registered | 593 Eddy Street, Rhode Island Hospital, Providence, RI 02903-4923 | 2016-11-08 |
| 1750833216 | Jenna Polselli | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2016-11-01 |
| 1912338898 | Colleen Lynch | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2013-12-03 |
| 1710316559 | Katelyn Chopy | Dietitian, Registered | 593 Eddy St, Hasbro Children's Hospital Room 502, Providence, RI 02903-4923 | 2013-11-02 |
| 1518391572 | Anna Rozanova | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2013-08-27 |
| 1053744011 | Julia N. O'brien | Dietitian, Registered | 593 Eddy St, Providence, RI 02903-4923 | 2013-08-14 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on KRISTEN PERRELLA.
| 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.