Active NPIIndividual provider

Tracy Phelan, RD

Dietitian, Registered in Newport, Rhode Island

NPI Number1003204389
Practice location
195 Broadway, 195 Broadway, Newport, RI 02840-2610
Fax
—
Last updated
January 8, 2015

Tracy Phelan is a Dietitian, Registered based in Newport, RI. Tracy Phelan practices in Newport, RI and has the professional credentials of RD. The NPI Number for Tracy Phelan is 1003204389 and holds a License No. 1103367 (RI). The current practice location address for Tracy Phelan is 195 Broadway, 195 Broadway, Newport, RI 02840-2610 and can be reached out via phone at 617-756-0082.

Provider Profile Details

NPI Number
1003204389
Provider Name
Tracy Phelan
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
195 Broadway, 195 Broadway, Newport, RI 02840-2610
Phone Number
617-756-0082
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2015
Last Update Date
January 8, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Broadway
195 Broadway
Newport, RI 02840-2610
Zip
02840-2610
Phone Number
617-756-0082
Newport, RI 02840Get directions →

Provider Business Mailing Address Details

Address
195 Broadway
195 Broadway
Newport, RI 02840-2610
City
Newport
State
RI
Zip
02840-2610

License Information

License Number
1103367
License State
RI
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracy Phelan, RD?

The NPI number of Tracy Phelan, RD is 1003204389. It was assigned on January 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Tracy Phelan, RD?

Tracy Phelan, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number 1103367.

Where does Tracy Phelan, RD practice?

The practice location is 195 Broadway, 195 Broadway, Newport, RI 02840-2610. The office can be reached at 617-756-0082 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003204389 directly on the NPPES registry website.

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