Active NPIIndividual providerSole proprietor

Mrs. Stephanie S Nicol, MS, RD, LDN, CDN

Dietitian, Registered in Wakefield, Rhode Island

NPI Number1093310229
Practice location
24 Salt Pond RD Ste H5, Wakefield, RI 02879-4337
Fax
401-522-6062
Last updated
October 22, 2022

Stephanie S Nicol is a Dietitian, Registered based in Wakefield, RI. Stephanie S Nicol practices in Wakefield, RI and has the professional credentials of MS, RD, LDN, CDN. The NPI Number for Stephanie S Nicol is 1093310229 and holds a License No. 86174930 (RI). The current practice location address for Stephanie S Nicol is 24 Salt Pond RD Ste H5, Wakefield, RI 02879-4337 and can be reached out via phone at 401-360-6477 and via fax at 401-522-6062.

Provider Profile Details

NPI Number
1093310229
Provider Name
Stephanie S Nicol
Credential
MS, RD, LDN, CDN
Provider Entity Type
Individual
Gender
Female
Address
24 Salt Pond RD Ste H5, Wakefield, RI 02879-4337
Phone Number
401-360-6477
Fax Number
401-522-6062
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2020
Last Update Date
October 22, 2022
Certification Date
October 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Salt Pond RD Ste H5
Wakefield, RI 02879-4337
Zip
02879-4337
Phone Number
401-360-6477
Fax Number
401-522-6062
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
35 Old Fitch Hill RD Apt 9
Uncasville, CT 06382-1000
City
Uncasville
State
CT
Zip
06382-1000
Phone Number
401-363-2546

License Information

License Number
86174930
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 Mrs. Stephanie S Nicol, MS, RD, LDN, CDN?

The NPI number of Mrs. Stephanie S Nicol, MS, RD, LDN, CDN is 1093310229. It was assigned on December 4, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stephanie S Nicol, MS, RD, LDN, CDN?

Mrs. Stephanie S Nicol, MS, RD, LDN, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number 86174930.

Where does Mrs. Stephanie S Nicol, MS, RD, LDN, CDN practice?

The practice location is 24 Salt Pond RD Ste H5, Wakefield, RI 02879-4337. The office can be reached at 401-360-6477 (phone) or 401-522-6062 (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 1093310229 directly on the NPPES registry website.

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