Provider Demographics
NPI:1124993555
Name:COOKING UP GOOD NUTRITION LLC
Entity type:Organization
Organization Name:COOKING UP GOOD NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ACQUISTO
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:401-286-8998
Mailing Address - Street 1:1640 JACKSON SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:PASCOAG
Mailing Address - State:RI
Mailing Address - Zip Code:02859-2201
Mailing Address - Country:US
Mailing Address - Phone:401-286-8998
Mailing Address - Fax:
Practice Address - Street 1:99 MAIN ST
Practice Address - Street 2:
Practice Address - City:PASCOAG
Practice Address - State:RI
Practice Address - Zip Code:02859-3184
Practice Address - Country:US
Practice Address - Phone:401-286-8998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty