KRISTIN LEE NIESSINK (NPI# 1720390669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720390669 |
| Entity Type | Individual |
| Full Name | KRISTIN LEE NIESSINK |
| Credential | M.S., R.D., L.D.N. |
| Practice Address |
951 Aquidneck Ave Bridge To Fitness Middletown RI 02842-7202 |
| Mailing Address |
10 Davol Sq Ste 400 Providence RI 02903-4752 |
| Practice Telephone | 4013687614 |
| Practice Fax Number | 4016190816 |
| Mailing Telephone | 4014214000 |
| Mailing Fax Number | 4012721456 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LDN00545 | RI | Dietary & Nutritional Service Providers |
| Street Address |
951 AQUIDNECK AVE BRIDGE TO FITNESS |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496460 | Kelci Marie Mchugh | Dietitian, Registered | 100 Henrick Dr, Middletown, OH 45044-5433 | 2020-08-06 |
| 1902414113 | Monica Eva Marcello | Dietitian, Registered | 808 Wadsworth St, Middletown, CT 06457-4027 | 2020-07-14 |
| 1801423124 | Jaclyn Nicole Esbenshade | Dietitian, Registered | 529 Wheelmen St, Middletown, DE 19709-0027 | 2020-03-25 |
| 1679107460 | Megan Tessier | Dietitian, Registered | 85 Compton View Dr, Middletown, RI 02842-7615 | 2020-03-02 |
| 1134769359 | Cindra Ann Holland | Dietitian, Registered | 16 E Sarazen Dr, Middletown, DE 19709-7940 | 2020-01-15 |
| 1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
| 1265915110 | Kamie Nicole Stoner | Dietitian, Registered | 1909 Sherman Ave, Middletown, OH 45044-4456 | 2018-09-06 |
| 1497280283 | Melanie Williams | Dietitian, Registered | 4 Banfield Ct, Middletown, NJ 07748-2542 | 2017-04-29 |
| 1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
| 1962804237 | Kelly Ann Pollock | Dietitian, Registered | 60 Peach Pl, Middletown, NY 10940-6944 | 2014-09-18 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
Please comment or provide details below to improve the information on KRISTIN LEE NIESSINK.
| 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.