Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Joseph Health Services of Ri

Organization Nutrition Education Nutritionist · NPI 1134264062

St Joseph Health Services of Ri provides Nutrition Education Nutritionist services in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

21 Peace St
Providence, RI 02907-1510 Not confirmed with CMS for 13 years — call before visiting
Phone: (401) 456-4325
Fax: (401) 456-4250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence HOS00110 (RI)
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence HOS00110 (RI)

Record details

NPI number1134264062
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Joseph Health Services of Ri
Authorized official Michael Conklin — Snr. Vise President · (401) 456-2525
Other names Adult Primary Care
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJanuary 25, 2013
Mailing address200 High Service Ave, Attn: Rose Soares, North Providence, RI 02904-5113

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