Individual provider · Type 1 NPI

Tracy Bergeron, RD, LDN

Pediatric Nutrition Registered Dietitian · Providence, RI

NPI number 1356417513 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Call (401) 444-6966 Map

Fax (401) 444-5462

Mailing address

167 Point St
Providence, RI 02903-4771

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XLDN00554 (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 1356417513

Tracy Bergeron, RD, LDN's National Provider Identifier is 1356417513, issued on Nov 28, 2006. 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 Jul 9, 2007.