Active NPIIndividual providerSole proprietor

Nathanael Medunick

Dietitian, Registered in Cumberland, Rhode Island

NPI Number1760344527
Practice location
47 Louise Luther Dr, Cumberland, RI 02864-6013
Fax
—
Last updated
December 1, 2025

Nathanael Medunick is a Dietitian, Registered based in Cumberland, RI. Nathanael Medunick practices in Cumberland, RI. The NPI Number for Nathanael Medunick is 1760344527 and holds a License No. LDN01311 (RI). The current practice location address for Nathanael Medunick is 47 Louise Luther Dr, Cumberland, RI 02864-6013 and can be reached out via phone at 910-712-6206.

Provider Profile Details

NPI Number
1760344527
Provider Name
Nathanael Medunick
Provider Entity Type
Individual
Gender
Male
Address
47 Louise Luther Dr, Cumberland, RI 02864-6013
Phone Number
910-712-6206
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 1, 2025
Last Update Date
December 1, 2025
Certification Date
December 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 Louise Luther Dr
Cumberland, RI 02864-6013
Zip
02864-6013
Phone Number
910-712-6206
Cumberland, RI 02864Get directions →

Provider Business Mailing Address Details

Address
47 Louise Luther Dr
Cumberland, RI 02864-6013
City
Cumberland
State
RI
Zip
02864-6013
Phone Number
910-712-6206

License Information

License Number
LDN01311
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 Nathanael Medunick?

The NPI number of Nathanael Medunick is 1760344527. It was assigned on December 1, 2025 and is currently active in the NPPES registry.

What is the specialty of Nathanael Medunick?

Nathanael Medunick is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN01311.

Where does Nathanael Medunick practice?

The practice location is 47 Louise Luther Dr, Cumberland, RI 02864-6013. The office can be reached at 910-712-6206 (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 1760344527 directly on the NPPES registry website.

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