Active NPIIndividual provider

Jessica Stavros, RD

Dietitian, Registered in Cranston, Rhode Island

NPI Number1639928260
Practice location
1145 Reservoir Ave Ste 126, Cranston, RI 02920-6000
Fax
—
Last updated
May 15, 2024

Jessica Stavros is a Dietitian, Registered based in Cranston, RI. Jessica Stavros practices in Cranston, RI and has the professional credentials of RD. The NPI Number for Jessica Stavros is 1639928260 and holds a License No. LDN00780 (RI). The current practice location address for Jessica Stavros is 1145 Reservoir Ave Ste 126, Cranston, RI 02920-6000 and can be reached out via phone at 401-228-6010.

Provider Profile Details

NPI Number
1639928260
Provider Name
Jessica Stavros
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
1145 Reservoir Ave Ste 126, Cranston, RI 02920-6000
Phone Number
401-228-6010
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2024
Last Update Date
May 15, 2024
Certification Date
May 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1145 Reservoir Ave Ste 126
Cranston, RI 02920-6000
Zip
02920-6000
Phone Number
401-228-6010
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
1145 Reservoir Ave Ste 126
Cranston, RI 02920-6000
City
Cranston
State
RI
Zip
02920-6000
Phone Number
401-228-6010

License Information

License Number
LDN00780
License State
RI
Taxonomy
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 Jessica Stavros, RD?

The NPI number of Jessica Stavros, RD is 1639928260. It was assigned on May 15, 2024 and is currently active in the NPPES registry.

What is the specialty of Jessica Stavros, RD?

Jessica Stavros, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN00780.

Where does Jessica Stavros, RD practice?

The practice location is 1145 Reservoir Ave Ste 126, Cranston, RI 02920-6000. The office can be reached at 401-228-6010 (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 1639928260 directly on the NPPES registry website.

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