Active NPIIndividual providerSole proprietor

Ms. Theresa M Jerominek, MS, RD, CDOE

Dietitian, Registered in Cranston, Rhode Island

NPI Number1992877393
Practice location
1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944
Fax
—
Last updated
October 29, 2026

Theresa M Jerominek is a Dietitian, Registered based in Cranston, RI. Theresa M Jerominek practices in Cranston, RI and has the professional credentials of MS, RD, CDOE. The NPI Number for Theresa M Jerominek is 1992877393 and holds a License No. LDN00040 (RI). The current practice location address for Theresa M Jerominek is 1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944 and can be reached out via phone at 401-343-4343.

Provider Profile Details

NPI Number
1992877393
Provider Name
Theresa M Jerominek
Credential
MS, RD, CDOE
Provider Entity Type
Individual
Gender
Female
Address
1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944
Phone Number
401-343-4343
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 14, 2006
Last Update Date
October 29, 2026
Certification Date
October 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944
Zip
02920-7944
Phone Number
401-343-4343
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944
City
Cranston
State
RI
Zip
02920-7944
Phone Number
401-343-4343

License Information

License Number (1)
LDN00040
License State (1)
RI
Taxonomy (1)
Dietitian, Registered · 133V00000X · Primary
License Number (2)
LDN7242
License State (2)
MA
Taxonomy (2)
Dietitian, Registered · 133V00000X

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 Ms. Theresa M Jerominek, MS, RD, CDOE?

The NPI number of Ms. Theresa M Jerominek, MS, RD, CDOE is 1992877393. It was assigned on November 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Theresa M Jerominek, MS, RD, CDOE?

Ms. Theresa M Jerominek, MS, RD, CDOE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in RI under license number LDN00040.

Where does Ms. Theresa M Jerominek, MS, RD, CDOE practice?

The practice location is 1170 Pontiac Ave Ste 100, Cranston, RI 02920-7944. The office can be reached at 401-343-4343 (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 1992877393 directly on the NPPES registry website.

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