Provider Demographics
NPI:1720791775
Name:RACHEL TENUTA RD
Entity Type:Organization
Organization Name:RACHEL TENUTA RD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TENUTA
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN, CDOE
Authorized Official - Phone:917-797-8938
Mailing Address - Street 1:90 STILLWATER RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-2737
Mailing Address - Country:US
Mailing Address - Phone:917-797-8938
Mailing Address - Fax:401-315-9157
Practice Address - Street 1:110 MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3861
Practice Address - Country:US
Practice Address - Phone:917-797-8938
Practice Address - Fax:401-315-9157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty