MRS. DOROTHY LORRAINE DELESSIO (NPI# 1952352379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952352379 |
| Entity Type | Individual |
| Full Name | MRS. DOROTHY LORRAINE DELESSIO |
| Credential | CDOE, CDE |
| Practice Address |
111 Brewster St Pawtucket RI 02860-4400 |
| Mailing Address |
111 Brewster St Department of Family Medicine Pawtucket RI 02860-4400 |
| Practice Telephone | 4017292759 |
| Practice Fax Number | 4017292923 |
| Mailing Telephone | 4017292759 |
| Mailing Fax Number | 4017292923 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-11-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LDN00127 | RI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MEDICARE PTAN | 007056708 | 01 |
| Street Address |
111 BREWSTER ST |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534281 | Zsolt Orban | Internal Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2005-08-02 |
| 1861020646 | Marleny Margarita Acosta | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4400 | 2020-03-29 |
| 1508492208 | Kimberly A Ainsworth | Nurse Practitioner | 111 Brewster St, Pawtucket, RI 02860-4400 | 2020-03-14 |
| 1962066878 | Pavinarmatha Ketheeswaran | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-25 |
| 1679137780 | Rebecca Lauren Lach | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-24 |
| 1700349495 | Katharina Rosalinde De Klerk | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-09 |
| 1962965905 | Matthew Perry | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-04-08 |
| 1184185662 | Amber Cardoos | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-27 |
| 1073073581 | Cailey Indech | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-21 |
| 1639639271 | Laura Nicole Hoeg | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4474 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| 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 |
|---|---|---|---|---|
| 1902318090 | Casey Ellyn Sardo | Dietitian, Registered | 25 Humes St Apt 1, Pawtucket, RI 02860-2066 | 2017-10-29 |
| 1629525209 | Brianna Laurila | Dietitian, Registered | 541 Cottage Street, Pawtucket, RI 02861 | 2016-09-01 |
| 1215280789 | Katrina Lynn Cox | Dietitian, Registered | 16 Bristol Ave, Pawtucket, RI 02861-2118 | 2012-10-22 |
| 1083729743 | Elizabeth A Cappalli | Dietitian, Registered | 141 Power Rd, Suite 107, Pawtucket, RI 02860-3429 | 2006-08-20 |
| 1063422673 | Tanya Kay Solberg | Dietitian, Registered | 727 East Ave, Pawtucket, RI 02860-6185 | 2006-08-08 |
| 1306878079 | Jerilyn Ann Jackson | Dietitian, Registered | 111 Brewster St, Pawtucket, RI 02860-4400 | 2006-07-06 |
| 1790736163 | Lisa P. Raymond | Dietitian, Registered | 111 Brewster St, Pawtucket, RI 02860-4400 | 2006-05-12 |
| 1841240140 | Nicole Greenway | Dietitian, Registered | 111 Brewster St, Food & Nutrition Dept., Pawtucket, RI 02860-4400 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314247 | Allisa Gladys Georgio | Dietitian, Registered | 71 Old Pine Rd, Narragansett, RI 02882-2406 | 2020-10-20 |
| 1366040313 | Kelley Shannon Magill | Dietitian, Registered | 730 N Quidnessett Rd, North Kingstown, RI 02852-1044 | 2020-10-13 |
| 1073129516 | Colby Thibault | Dietitian, Registered | 36 Captain John Jacobs Rd Apt 209, East Providence, RI 02914-5372 | 2020-09-21 |
| 1386267631 | Caitlin Jo Koniarczyk | Dietitian, Registered | 110 Main St Ste 201, East Greenwich, RI 02818-3861 | 2020-05-21 |
| 1104452747 | Lynn Ellen Przystac | Dietitian, Registered | 101 Dudley St Dept Of, Providence, RI 02905-2499 | 2020-03-16 |
| 1679107460 | Megan Tessier | Dietitian, Registered | 85 Compton View Dr, Middletown, RI 02842-7615 | 2020-03-02 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1316411341 | Laura E Otterbach | Dietitian, Registered | 20 Norman St, Newport, RI 02840-3830 | 2019-01-12 |
| 1356813422 | Nicole Arruda | Dietitian, Registered | 47 Lafayette Dr, Bristol, RI 02809-5012 | 2018-12-29 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
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| 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.