Olive Branch Nutrition Therapy LLC
Dietitian, Registered in Providence, Rhode Island
1205598414- Practice location
- 20 Messer St # 4, Providence, RI 02909-2006
- Phone
- 508-688-0456
- Fax
- —
- Last updated
- November 2, 2026
Olive Branch Nutrition Therapy LLC is a healthcare organization based in Providence, RI. Olive Branch Nutrition Therapy LLC practices in Providence, RI. The NPI Number for Olive Branch Nutrition Therapy LLC is 1205598414. The current practice location address for Olive Branch Nutrition Therapy LLC is 20 Messer St # 4, Providence, RI 02909-2006 and can be reached out via phone at 508-688-0456.
Provider Profile Details
- NPI Number
- 1205598414
- Provider Name
- Olive Branch Nutrition Therapy LLC
- Provider Entity Type
- Organization
- Address
- 20 Messer St # 4, Providence, RI 02909-2006
- Phone Number
- 508-688-0456
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Laila Shanaa, RDN · Owner · 508-688-0456
- Provider Enumeration Date
- October 6, 2021
- Last Update Date
- November 2, 2026
- Certification Date
- November 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Messer St # 4
Providence, RI 02909-2006 - City
- Providence
- State
- Rhode Island
- Zip
- 02909-2006
- Phone Number
- 508-688-0456
Provider Business Mailing Address Details
- Address
- 20 Messer St # 4
Providence, RI 02909-2006 - City
- Providence
- State
- RI
- Zip
- 02909-2006
- Phone Number
- 508-688-0456
License Information
- Taxonomy (1)
- Dietitian, Registered · 133V00000X · Primary
- Taxonomy (2)
- Clinic/Center, Health Services · 261QH0100X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Providence, RI
View all Dietitian, Registered providers in Providence →- Elizabeth F Fayram, RDN, LDN, CEDRDDietitian, Registered · NPI 1154654788
- Mrs. Alyssa A Morron, RD, IBCLC, CLC, CLSPDietitian, Registered · NPI 1629679691
- Shira Hirshberg, RDNDietitian, Registered · NPI 1598195497
- David M Coletta, PA-CPhysician Assistant · NPI 1942975123
- Frances Kontoulis, PHARM DPharmacist · NPI 1174422158
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Frequently Asked Questions
What is the NPI number of Olive Branch Nutrition Therapy LLC?
The NPI number of Olive Branch Nutrition Therapy LLC is 1205598414. It was assigned on October 6, 2021 and is currently active in the NPPES registry.
What is the specialty of Olive Branch Nutrition Therapy LLC?
Olive Branch Nutrition Therapy LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Olive Branch Nutrition Therapy LLC practice?
The practice location is 20 Messer St # 4, Providence, RI 02909-2006. The office can be reached at 508-688-0456 (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 1205598414 directly on the NPPES registry website.