Individual provider · Type 1 NPI

Michelle Dominguez Medina

Pediatric Nutrition Registered Dietitian · Providence, RI

NPI number 1255283669 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 444-5603 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XLDN01639 (RI)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1255283669

Michelle Dominguez Medina's National Provider Identifier is 1255283669, issued on Feb 10, 2026. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Providence, RI. The record was last updated on Feb 10, 2026.