Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Joseph Health Services of Ri

Organization Nutrition Education Nutritionist · NPI 1134264062

St Joseph Health Services of Ri is a Nutrition Education Nutritionist 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
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

Other providers in Providence