Active NPIIndividual provider

Jacqueline A Beatty, MS, RD, LDN

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

NPI Number1538444617
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
—
Last updated
October 20, 2011

Jacqueline Ann Beatty is a Dietitian, Registered, Nutrition, Pediatric based in Providence, RI. Jacqueline Ann Beatty practices in Providence, RI and has the professional credentials of MS, RD, LDN. The NPI Number for Jacqueline Ann Beatty is 1538444617 and holds a License No. LDN00488 (RI). The current practice location address for Jacqueline Ann Beatty is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-6819.

Provider Profile Details

NPI Number
1538444617
Provider Name
Jacqueline Ann Beatty
Credential
MS, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-6819
Primary Taxonomy
Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2011
Last Update Date
October 20, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-6819
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
401-444-6819

License Information

License Number
LDN00488
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 Jacqueline A Beatty, MS, RD, LDN?

The NPI number of Jacqueline A Beatty, MS, RD, LDN is 1538444617. It was assigned on October 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Jacqueline A Beatty, MS, RD, LDN?

Jacqueline A Beatty, MS, RD, LDN is registered under the primary taxonomy Dietitian, Registered, Nutrition, Pediatric (code 133VN1004X), licensed in RI under license number LDN00488.

Where does Jacqueline A Beatty, MS, RD, LDN practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-6819 (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 1538444617 directly on the NPPES registry website.

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