Provider Demographics
NPI:1457481509
Name:ZANGARI, KAREN JOAN (RD)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JOAN
Last Name:ZANGARI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 GREAT RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-3835
Mailing Address - Country:US
Mailing Address - Phone:401-333-2124
Mailing Address - Fax:401-333-2124
Practice Address - Street 1:1065 GREAT RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-3835
Practice Address - Country:US
Practice Address - Phone:401-333-2124
Practice Address - Fax:401-333-2124
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00252133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI26936-6OtherBLUE CROSS BLUE SHIELD RI
RI404242OtherBLUE CHIP