MRS. PATRICIA ANN PETRILLO (NPI# 1912177734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912177734 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA ANN PETRILLO |
| Credential | RD,LDN |
| Practice Address |
1076 N Main St Providence RI 02904-5760 |
| Mailing Address |
111 Bishop Hill Rd Johnston RI 02919-2821 |
| Practice Telephone | 4018617711 |
| Practice Fax Number | 4014215710 |
| Mailing Telephone | 4017640124 |
| Mailing Fax Number | 4017640124 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
LDN00425 | RI | Dietary & Nutritional Service Providers |
| Street Address |
1076 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733988 | Richard A Cottiero | Internal Medicine | 1076 N Main St, Ste 3, Providence, RI 02904 | 2005-07-07 |
| 1144616715 | Edward Medeiros | Internal Medicine | 1076 N Main St, Providence, RI 02904-5760 | 2015-04-10 |
| 1700131125 | Josef Edrik Keith Abiog Bautista | Internal Medicine | 1076 N Main St, Providence, RI 02904-5760 | 2012-07-23 |
| 1073799573 | Arnoldas Giedrimas | Internal Medicine | 1076 N Main St, Providence, RI 02904-5760 | 2008-01-14 |
| 1568667434 | Keith R Bartolomei | Internal Medicine | 1076 N Main St, Providence, RI 02904-5760 | 2007-06-19 |
| 1669598868 | Melissa Jane Savicki | Physician Assistant | 1076 N Main St, Providence, RI 02904-5760 | 2007-03-21 |
| 1639277072 | Hypertension & Nephrology, Inc. | Specialist | 1076 N Main St, Providence, RI 02904-5760 | 2006-09-20 |
| 1487607693 | Louis R Maiello | Radiology | 1076 N Main St, Providence, RI 02904-5760 | 2006-05-18 |
| 1326091711 | Cranston Mri PC | Radiology | 1076 N Main St, Providence, RI 02904-5760 | 2006-05-18 |
| 1245290675 | John Cava | Internal Medicine | 1076 N Main St, Providence, RI 02904-5760 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184826059 | Lisa Ann Cabral | Dietitian, Registered | 318 Waterman Ave, East Providence, RI 02914-3525 | 2007-06-04 |
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on MRS. PATRICIA ANN PETRILLO.
| 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.