Active NPIOrganization

Rhode Island Nutrition Therapy, LLC

Dietitian, Registered in North Kingstown, Rhode Island

NPI Number1104365212
Practice location
1130 Ten Rod RD Ste B203, North Kingstown, RI 02852-4165
Fax
401-633-6956
Last updated
October 18, 2026

Rhode Island Nutrition Therapy, LLC is a healthcare organization based in North Kingstown, RI. Rhode Island Nutrition Therapy, LLC practices in North Kingstown, RI. The NPI Number for Rhode Island Nutrition Therapy, LLC is 1104365212 and holds a License No. LDN00792 (RI). The current practice location address for Rhode Island Nutrition Therapy, LLC is 1130 Ten Rod RD Ste B203, North Kingstown, RI 02852-4165 and can be reached out via phone at 401-398-2454 and via fax at 401-633-6956.

Provider Profile Details

NPI Number
1104365212
Provider Name
Rhode Island Nutrition Therapy, LLC
Provider Entity Type
Organization
Address
1130 Ten Rod RD Ste B203, North Kingstown, RI 02852-4165
Phone Number
401-398-2454
Fax Number
401-633-6956
Primary Taxonomy
Dietitian, Registered · 133V00000X
Organization Subpart
No
Authorized Official
Wendy Hackleman Leonard · Ceo & Founder · 401-398-2454
Provider Enumeration Date
February 22, 2017
Last Update Date
October 18, 2026
Certification Date
October 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1130 Ten Rod RD Ste B203
North Kingstown, RI 02852-4165
Zip
02852-4165
Phone Number
401-398-2454
Fax Number
401-633-6956
North Kingstown, RI 02852Get directions →

Provider Business Mailing Address Details

Address
330 Cowesett RD
Warwick, RI 02886-8536
City
Warwick
State
RI
Zip
02886-8536
Phone Number
401-398-2454
Fax Number
401-633-6956

License Information

License Number
LDN00792
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 Rhode Island Nutrition Therapy, LLC?

The NPI number of Rhode Island Nutrition Therapy, LLC is 1104365212. It was assigned on February 22, 2017 and is currently active in the NPPES registry.

What is the specialty of Rhode Island Nutrition Therapy, LLC?

Rhode Island Nutrition Therapy, LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN00792.

Where does Rhode Island Nutrition Therapy, LLC practice?

The practice location is 1130 Ten Rod RD Ste B203, North Kingstown, RI 02852-4165. The office can be reached at 401-398-2454 (phone) or 401-633-6956 (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 1104365212 directly on the NPPES registry website.

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