Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFEFIT NUTRITION LLC
NPI 1013597764
Dietitian, Registered in East Providence, RI

Active since April 08, 2021
1409 S BROADWAY, EAST PROVIDENCE, RI 02914(401) 585-4560(845) 840-1371 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, May 12, 2026, Sep 25, 2024 and 2 more (5 updates tracked since 2021).

About Lifefit Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEFIT NUTRITION LLC (NPI 1013597764) is a healthcare organization registered as a dietitian, registered in East Providence, Rhode Island and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Port Charlotte and lists Jason P Oliveira, Dietitian, as its authorized official.

NPPES Registry Identity

NPI1013597764
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameLIFEFIT NUTRITION LLC
Location Address1409 S BROADWAYEast Providence, RI 02914-4990
Mailing Address4255 Collingswood BlvdPort Charlotte, FL 33948-8819 · (401) 585-4560 · Fax (845) 840-1371
Fax(845) 840-1371
Organization SubpartNo
Authorized OfficialJason P OliveiraDietitian · (401) 585-4560
Enumeration DateApril 8, 2021
Last NPPES UpdateOctober 13, 20265 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1013597764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1409 S BROADWAY, East Providence, RI 02914

Secondary Practice Location 1

Location 14255 Collingswood BlvdPort Charlotte, FL 33948-8819 · Phone (401) 585-4560 · Fax (845) 840-1371

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifefit Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifefit Nutrition LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1033402003
1409 S BROADWAY
East Providence, RI 02914
(401) 585-4560
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifefit Nutrition LLC's NPI number?

The NPI number for Lifefit Nutrition LLC is 1013597764. It was assigned to this organization in the NPPES registry on April 8, 2021.

Where is Lifefit Nutrition LLC located?

Lifefit Nutrition LLC is located at 1409 S Broadway, East Providence, RI 02914. The listed phone number is (401) 585-4560.

What is Lifefit Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Lifefit Nutrition LLC enrolled in Medicare?

Yes. Lifefit Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifefit Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Lifefit Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifefit Nutrition LLC was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.