Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE DOMINGUEZ MEDINA
Active Sole ProprietorPediatric Nutrition · PROVIDENCE, RI
Registration Details
- NPI Number
- 1255283669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2026 (0.20395643842434 yrs)
- Last Updated
- Feb 10, 2026
- License
-
LDN01639 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
593 EDDY STPROVIDENCE, RI, 029034923Browse RI providers · Browse ZIP 02903
- Phone
- 4014445603
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE M HARDY-FRAMSON | MS, RD | 1548200603 |
| BETH A PINKOS | MS, RD | 1912924093 |
| AMY E. DANIELL | RD, LDN | 1811063720 |
| TRACY BERGERON | RD, LDN | 1356417513 |
| STEPHANIE MARCHAND | RD, LDN | 1104993310 |
| MARIA R SANTINI | RD | 1508016338 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.