Jamie Lee Burgess, RD | |
593 Eddy St, Providence, RI 02903-4923 | |
(401) 444-5603 | |
Not Available |
Full Name | Jamie Lee Burgess |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 593 Eddy St, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881299683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | LDN01147 (Rhode Island) | Primary |
133V00000X | Dietitian, Registered | 4940-NU-NU (Massachusetts) | Secondary |
Provider Name | Pelvic Health & Wellness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1194319475 PECOS PAC ID: 9133523624 Enrollment ID: O20210805001040 |
Mailing Address | Practice Location Address |
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Jamie Lee Burgess, RD 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: () - | Jamie Lee Burgess, RD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-5603 |
Miss Megan Naquin, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 439 Benefit St, Providence, RI 02903 Phone: 401-262-0841 | |
Jeannie Dorr, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, George Clinic, Providence, RI 02903 Phone: 401-444-3201 Fax: 401-444-6115 | |
Stephanie M O'donnell, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1000 Eddy St, Providence, RI 02905 Phone: 401-533-9100 | |
Mrs. Sarah E. W. Rambikur, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4847 | |
Eliza Mellion, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Exchange St, Providence, RI 02903 Phone: 617-505-1804 | |
Lifefit Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1 Augusta St, Providence, RI 02908 Phone: 401-585-4560 Fax: 845-840-1371 | |
Amy Modracek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 134 Thurbers Ave, Family Service Of Rhode Island, Providence, RI 02905 Phone: 401-331-1350 Fax: 401-277-3366 |