Provider Demographics
NPI:1861192445
Name:UNDERHILL, ANNE K (RDN, LDN, CLC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:UNDERHILL
Suffix:
Gender:F
Credentials:RDN, LDN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 PHILLIPS ST STE 203
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5149
Mailing Address - Country:US
Mailing Address - Phone:401-584-2833
Mailing Address - Fax:401-633-6956
Practice Address - Street 1:320 PHILLIPS ST STE 203
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-5149
Practice Address - Country:US
Practice Address - Phone:401-584-2833
Practice Address - Fax:401-633-6956
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN01258133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered