Active NPIIndividual provider

Amy Modracek, RD

Dietitian, Registered in Providence, Rhode Island

NPI Number1033246574
Practice location
134 Thurbers Ave, Family Service Of Rhode Island, Providence, RI 02905-4754
Fax
401-277-3366
Last updated
July 8, 2007

Amy Modracek is a Dietitian, Registered based in Providence, RI. Amy Modracek practices in Providence, RI and has the professional credentials of RD. The NPI Number for Amy Modracek is 1033246574 and holds a License No. RD657 (MA). The current practice location address for Amy Modracek is 134 Thurbers Ave, Family Service Of Rhode Island, Providence, RI 02905-4754 and can be reached out via phone at 401-331-1350 and via fax at 401-277-3366.

Provider Profile Details

NPI Number
1033246574
Provider Name
Amy Modracek
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
134 Thurbers Ave, Family Service Of Rhode Island, Providence, RI 02905-4754
Phone Number
401-331-1350
Fax Number
401-277-3366
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
February 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Thurbers Ave
Family Service Of Rhode Island
Providence, RI 02905-4754
Zip
02905-4754
Phone Number
401-331-1350
Fax Number
401-277-3366
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
1440 Phillips RD
New Bedford, MA 02745-1958
City
New Bedford
State
MA
Zip
02745-1958

License Information

License Number (1)
RD657
License State (1)
MA
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
LDN00543
License State (2)
RI
Taxonomy (2)
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 Amy Modracek, RD?

The NPI number of Amy Modracek, RD is 1033246574. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Amy Modracek, RD?

Amy Modracek, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number RD657.

Where does Amy Modracek, RD practice?

The practice location is 134 Thurbers Ave, Family Service Of Rhode Island, Providence, RI 02905-4754. The office can be reached at 401-331-1350 (phone) or 401-277-3366 (fax).

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 1033246574 directly on the NPPES registry website.

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