Provider Demographics
NPI:1316006950
Name:O'NEILL, MARGARET SHARLENE (RD,CDE)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:SHARLENE
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:RD,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 TANGLEWOOD LANE, APT 307
Mailing Address - Street 2:
Mailing Address - City:NO PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904
Mailing Address - Country:US
Mailing Address - Phone:401-270-5449
Mailing Address - Fax:401-228-8167
Practice Address - Street 1:1145 RESERVOIR AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02820
Practice Address - Country:US
Practice Address - Phone:401-228-6010
Practice Address - Fax:401-228-6010
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI104133V00000X
133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI007009602Medicare ID - Type Unspecified