Active NPIIndividual provider

Sonya Bostom, RD, LDN

Dietitian, Registered, Nutrition, Pediatric in Providence, Rhode Island

NPI Number1205659778
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
—
Last updated
November 4, 2024

Sonya Bostom is a Dietitian, Registered, Nutrition, Pediatric based in Providence, RI. Sonya Bostom practices in Providence, RI and has the professional credentials of RD, LDN. The NPI Number for Sonya Bostom is 1205659778 and holds a License No. LDN01451 (RI). The current practice location address for Sonya Bostom is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-0918.

Provider Profile Details

NPI Number
1205659778
Provider Name
Sonya Bostom
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-0918
Primary Taxonomy
Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
Sole Proprietor
No
Provider Enumeration Date
November 4, 2024
Last Update Date
November 4, 2024
Certification Date
November 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-0918
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
593 Eddy St
Providence, RI 02903-4923
City
Providence
State
RI
Zip
02903-4923
Phone Number
401-444-0918

License Information

License Number
LDN01451
License State
RI
Taxonomy
Dietitian, Registered, Nutrition, Pediatric · 133VN1004X · 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 Sonya Bostom, RD, LDN?

The NPI number of Sonya Bostom, RD, LDN is 1205659778. It was assigned on November 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Sonya Bostom, RD, LDN?

Sonya Bostom, RD, LDN is registered under the primary taxonomy Dietitian, Registered, Nutrition, Pediatric (code 133VN1004X), licensed in RI under license number LDN01451.

Where does Sonya Bostom, RD, LDN practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-0918 (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 1205659778 directly on the NPPES registry website.

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