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

Victoria Rose Banaczuk, MS, RD, LDN

Individual provider Registered Dietitian · NPI 1831066828

Victoria Rose Banaczuk, MS, RD, LDN is a Registered Dietitian OR Nutrition Professional in Providence, Rhode Island. Qualified in 2024, 2 years ago. Licensed in Rhode Island.

Years since qualifying
2
Licensed in
RI
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-5603
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LDN01611 (RI)

Record details

NPI number1831066828
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LDN
Sole proprietorNo
NPI enumeratedOctober 22, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Providence