SUZANNE JANELLE WATKINS RD, LD
NPI 1184359655
Dietitian, Registered - Nutrition, Pediatric in Providence, RI

Active since July 19, 2022
111 PLAIN ST FL 3, PROVIDENCE, RI 02903(401) 444-5504 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2025, Jul 19, 2022 (2 updates tracked since 2022).

About Suzanne Janelle Watkins Rd, Ld NPPES

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

SUZANNE JANELLE WATKINS RD, LD (NPI 1184359655) is an individual nutrition, pediatric provider in Providence, Rhode Island, licensed in Rhode Island (LDN01202) and active in the NPI registry since July 2022. She maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1184359655
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameSUZANNE JANELLE WATKINSCredential: RD, LD
Location Address111 PLAIN ST FL 3Providence, RI 02903-4816
Mailing Address15 La Salle SqProvidence, RI 02903-1814
Sole ProprietorNo
Enumeration DateJuly 19, 2022
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1184359655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
License✔ Licensed in RI · LDN01202
Definition
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, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
111 PLAIN ST FL 3, Providence, RI 02903

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-5603

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne Janelle Watkins Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Neurology
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 12 clinicians in this Medicare group

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

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

Pediatrics (Pediatric Endocrinology)
111 PLAIN ST FL 3
PROVIDENCE, RI 02903

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 Suzanne Watkins's NPI number?

The NPI number for Suzanne Watkins is 1184359655. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Suzanne Watkins located?

Suzanne Watkins practices at 111 Plain St Fl 3, Providence, RI 02903. The listed phone number is (401) 444-5504.

What is Suzanne Watkins's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Is Suzanne Watkins enrolled in Medicare?

Yes. Suzanne Watkins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzanne Watkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Watkins reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). The 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 Suzanne Watkins'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 Suzanne Watkins was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.