Active NPIIndividual providerSole proprietor

Andrea K Ackerson, RD IBCLC

Dietitian, Registered in Providence, Rhode Island

NPI Number1356760391
Practice location
383 W Fountain St # 115, Providence, RI 02903-3515
Fax
—
Last updated
November 5, 2025

Andrea K Ackerson is a Dietitian, Registered based in Providence, RI. Andrea K Ackerson practices in Providence, RI and has the professional credentials of RD IBCLC. The NPI Number for Andrea K Ackerson is 1356760391 and holds a License No. L56279 (RI). The current practice location address for Andrea K Ackerson is 383 W Fountain St # 115, Providence, RI 02903-3515 and can be reached out via phone at 401-203-7248.

Provider Profile Details

NPI Number
1356760391
Provider Name
Andrea K Ackerson
Credential
RD IBCLC
Provider Entity Type
Individual
Gender
Female
Address
383 W Fountain St # 115, Providence, RI 02903-3515
Phone Number
401-203-7248
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 7, 2014
Last Update Date
November 5, 2025
Certification Date
November 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
383 W Fountain St # 115
Providence, RI 02903-3515
Zip
02903-3515
Phone Number
401-203-7248
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
171 Forge RD
North Kingstown, RI 02852-1007
City
North Kingstown
State
RI
Zip
02852-1007
Phone Number
518-527-3213

License Information

License Number (1)
L56279
License State (1)
RI
Taxonomy (1)
Lactation Consultant, Non-RN · 174N00000X
License Number (2)
928270
License State (2)
RI
Taxonomy (2)
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 Andrea K Ackerson, RD IBCLC?

The NPI number of Andrea K Ackerson, RD IBCLC is 1356760391. It was assigned on April 7, 2014 and is currently active in the NPPES registry.

What is the specialty of Andrea K Ackerson, RD IBCLC?

Andrea K Ackerson, RD IBCLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number L56279.

Where does Andrea K Ackerson, RD IBCLC practice?

The practice location is 383 W Fountain St # 115, Providence, RI 02903-3515. The office can be reached at 401-203-7248 (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 1356760391 directly on the NPPES registry website.

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