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LIFESTYLE MEDICINE OF RHODE ISLAND, LLC
NPI 1568978690
Family Medicine in Johnston, RI

Active since December 27, 2017CLIA 41D2004314 · Waiver
1524 ATWOOD AVE STE 336, JOHNSTON, RI 02919(401) 228-6844(401) 228-6855 Get Directions Write a Review

NPPES record last updated: December 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifestyle Medicine Of Rhode Island, Llc NPPES

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

LIFESTYLE MEDICINE OF RHODE ISLAND, LLC (NPI 1568978690), doing business as Ri Weightloss, Llc, is a healthcare organization registered as a family medicine in Johnston, Rhode Island and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Martha Mary Fontaine, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1568978690
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFESTYLE MEDICINE OF RHODE ISLAND, LLC
Location Address1524 ATWOOD AVE STE 336Johnston, RI 02919-3228
Mailing Address1524 Atwood Ave Ste 336Johnston, RI 02919-3228 · (401) 228-6844 · Fax (401) 228-6855
Phone(401) 228-6844
Fax(401) 228-6855
Organization SubpartNo
Authorized OfficialMartha Mary FontainePractice Manager · (401) 228-6844
Enumeration DateDecember 27, 2017
✔ NPI 1568978690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · MD04110
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License MD04110 (RI)
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License MD04110 (RI)
1524 ATWOOD AVE STE 336, Johnston, RI 02919
Open in Google Maps ↗

Other Names 1

Former Legal Business NameRi Weightloss, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2004314

Lifestyle Medicine Of Ri LLC · Johnston, RI
Active · expires Mar 2, 2028
CLIA Number41D2004314
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorMs. Michael A. Rocchio MD
Laboratory Phone(401) 228-6844
Laboratory LocationLifestyle Medicine Of Ri LLC1524 Atwood Ave Suite 336, Johnston, RI 02919
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DANIELLE J YOUNES
Nurse Practitioner (Family)
1524 ATWOOD AVE STE 336
JOHNSTON, RI 02919
Providence County (401) 589-0885

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 Lifestyle Medicine Of Rhode Island, LLC's NPI number?

The NPI number for Lifestyle Medicine Of Rhode Island, LLC is 1568978690. It was assigned to this organization in the NPPES registry on December 27, 2017. The provider was formerly known as Ri Weightloss, LLC.

Where is Lifestyle Medicine Of Rhode Island, LLC located?

Lifestyle Medicine Of Rhode Island, LLC is located at 1524 Atwood Ave Ste 336, Johnston, RI 02919. The listed phone number is (401) 228-6844.

What is Lifestyle Medicine Of Rhode Island, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lifestyle Medicine Of Rhode Island, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2004314) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifestyle Medicine Of Rhode Island, LLC was last updated on December 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.