Provider Demographics
NPI:1598765018
Name:BELHUMEUR, RANDI B (MS,RD,LDN)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:B
Last Name:BELHUMEUR
Suffix:
Gender:F
Credentials:MS,RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3161
Mailing Address - Country:US
Mailing Address - Phone:401-886-9669
Mailing Address - Fax:401-886-9779
Practice Address - Street 1:1050 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3161
Practice Address - Country:US
Practice Address - Phone:401-886-9669
Practice Address - Fax:401-886-9779
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00487133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
719024141Medicare ID - Type Unspecified
P93319Medicare UPIN