MR. CHAD PROULX RDN, CD
NPI 1154007177
Dietitian, Registered in St Johnsbury, VT

Q: What is Chad Proulx's NPI number?

The NPI number for Chad Proulx is 1154007177. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Chad Proulx's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chad Proulx was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 26, 2023

1315 HOSPITAL DR, ST JOHNSBURY, VT 05819(802) 748-8141 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. Chad Proulx Rdn, Cd NPPES

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

MR. CHAD PROULX RDN, CD (NPI 1154007177) is an individual dietitian, registered in St Johnsbury, Vermont, licensed in Vermont (074.0134331) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1154007177

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMR. CHAD PROULXCredential: RDN, CD

Location Address1315 HOSPITAL DRSt Johnsbury, VT 05819-9210

Mailing Address1315 Hospital DrSt Johnsbury, VT 05819-9210 · (802) 748-8141

Phone(802) 748-8141

Sole ProprietorNo

Enumeration DateJune 26, 2023

NPPES CertifiedJune 24, 2023

✔ NPI 1154007177 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 VT · 074.0134331

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.

1315 HOSPITAL DR, St Johnsbury, VT 05819

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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)

Mr. Chad Proulx Rdn, Cd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Chad Proulx reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeastern Vermont Regional Hospital, Inc

Same address

Critical Access

1315 HOSPITAL DR
St Johnsbury, VT 05819

Reassigned Medicare billing, Vermont enrollment
52 clinicians in this Medicare group

NPI 1275576704 (802) 748-8141

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.

KATHERINE A. HARRIS LICSW

Social Worker (Clinical)