Active NPIIndividual provider

Tracy Bergeron, RD, LDN

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

NPI Number1356417513
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-444-5462
Last updated
July 9, 2007

Tracy Bergeron is a Dietitian, Registered, Nutrition, Pediatric based in Providence, RI. Tracy Bergeron practices in Providence, RI and has the professional credentials of RD, LDN. The NPI Number for Tracy Bergeron is 1356417513 and holds a License No. LDN00554 (RI). The current practice location address for Tracy Bergeron is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-6966 and via fax at 401-444-5462.

Provider Profile Details

NPI Number
1356417513
Provider Name
Tracy Bergeron
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-6966
Fax Number
401-444-5462
Primary Taxonomy
Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
Sole Proprietor
No
Provider Enumeration Date
November 28, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-6966
Fax Number
401-444-5462
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
167 Point St
Providence, RI 02903-4771
City
Providence
State
RI
Zip
02903-4771
Phone Number
401-444-5640
Fax Number
401-444-5462

License Information

License Number
LDN00554
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.

Other Dietitian, Registered, Nutrition, Pediatric providers near Providence, RI

View all Dietitian, Registered, Nutrition, Pediatric providers in Providence →

Frequently Asked Questions

What is the NPI number of Tracy Bergeron, RD, LDN?

The NPI number of Tracy Bergeron, RD, LDN is 1356417513. It was assigned on November 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Tracy Bergeron, RD, LDN?

Tracy Bergeron, RD, LDN is registered under the primary taxonomy Dietitian, Registered, Nutrition, Pediatric (code 133VN1004X), licensed in RI under license number LDN00554.

Where does Tracy Bergeron, RD, LDN practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-6966 (phone) or 401-444-5462 (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 1356417513 directly on the NPPES registry website.

Browse related providers