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MARY MARGARET FLYNN PHD, RD
NPI 1093853178
Dietitian, Registered in Providence, RI

Active since February 02, 2007
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4707 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Margaret Flynn Phd, Rd NPPES

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

MARY MARGARET FLYNN PHD, RD (NPI 1093853178) is an individual dietitian, registered in Providence, Rhode Island, licensed in Rhode Island (LDN00214) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1093853178
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY MARGARET FLYNNCredential: PHD, RD
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing Address11 Griswold AveCranston, RI 02910-4208 · (401) 944-7482
Phone(401) 793-4707
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093853178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in RI · LDN00214
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.
164 SUMMIT AVE, Providence, RI 02906
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Margaret Flynn Phd, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Flynn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Miriam Hospital
1.0 mi
Adult Medicine
180 CORLISS ST STE C
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 12 clinicians in this Medicare group
NPI 1831362813 (401) 793-4636
Rhode Island Hospital
2.8 mi
Hematology & Oncology
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 182 clinicians in this Medicare group
NPI 1396849782 (401) 444-5291

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HALINA KUC-MAZGAJ
Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Providence County (401) 793-3902
KARL HERMAN M.D.
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MUHAMMAD BAIG M.D.
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MS. LEANNE LAPARLE LICSW
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-2069
THOMAS FAIRWEATHER CRAIN MD
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4630
JAMES ATKINSON MD
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500
DR. ORIANE DIANA LONGERSTAEY MD
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (704) 355-3181
JEFFREY M BUROCK MD
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500

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 Mary Flynn's NPI number?

The NPI number for Mary Flynn is 1093853178. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Mary Flynn located?

Mary Flynn practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-4707.

What is Mary Flynn's specialty?

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

Is Mary Flynn enrolled in Medicare?

Yes. Mary Flynn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Flynn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Flynn reassigns Medicare benefits to 2 organizations: The Miriam Hospital (Providence, RI) and Rhode Island Hospital (Providence, RI). Each 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 Mary Flynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Flynn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.