Active NPIIndividual provider

Victoria R Banaczuk, MS, RD, LDN

Dietitian, Registered in Providence, Rhode Island

NPI Number1831066828
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
—
Last updated
December 1, 2025

Victoria Rose Banaczuk is a Dietitian, Registered based in Providence, RI. Victoria Rose Banaczuk practices in Providence, RI and has the professional credentials of MS, RD, LDN. The NPI Number for Victoria Rose Banaczuk is 1831066828 and holds a License No. LDN01611 (RI). The current practice location address for Victoria Rose Banaczuk is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-5603.

Provider Profile Details

NPI Number
1831066828
Provider Name
Victoria Rose Banaczuk
Credential
MS, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-5603
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
October 22, 2025
Last Update Date
December 1, 2025
Certification Date
December 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-5603
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
15 La Salle Sq
Providence, RI 02903-1814
City
Providence
State
RI
Zip
02903-1814
Phone Number
401-444-6779
Fax Number
401-444-6912

License Information

License Number
LDN01611
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 Victoria R Banaczuk, MS, RD, LDN?

The NPI number of Victoria R Banaczuk, MS, RD, LDN is 1831066828. It was assigned on October 22, 2025 and is currently active in the NPPES registry.

What is the specialty of Victoria R Banaczuk, MS, RD, LDN?

Victoria R Banaczuk, MS, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN01611.

Where does Victoria R Banaczuk, MS, RD, LDN practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-5603 (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 1831066828 directly on the NPPES registry website.

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