MRS. PATRICIA ANN PETRILLO RD,LDN
NPI 1912177734
Dietitian, Registered - Nutrition, Renal in Providence, RI

Q: What is Patricia Petrillo's NPI number?

The NPI number for Patricia Petrillo is 1912177734. It was assigned to this individual provider in the NPPES registry on March 7, 2008.

Q: What is Patricia Petrillo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Q: When was this NPI record last updated?

The NPPES record for Patricia Petrillo was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 March 07, 2008

1076 N MAIN ST, PROVIDENCE, RI 02904(401) 861-7711(401) 421-5710 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Patricia Ann Petrillo Rd,ldn NPPES

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

MRS. PATRICIA ANN PETRILLO RD,LDN (NPI 1912177734) is an individual nutrition, renal provider in Providence, Rhode Island, licensed in Rhode Island (LDN00425) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1912177734

Entity TypeIndividualFemale

Primary Taxonomy133VN1005X

Provider Legal NameMRS. PATRICIA ANN PETRILLOCredential: RD,LDN

Location Address1076 N MAIN STProvidence, RI 02904-5760

Mailing Address111 Bishop Hill RdJohnston, RI 02919-2821 · (401) 764-0124 · Fax (401) 764-0124

Phone(401) 861-7711

Fax(401) 421-5710

Sole ProprietorYes

Enumeration DateMarch 7, 2008

✔ NPI 1912177734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers

Taxonomy Code133VN1005X

License✔ Licensed in RI · LDN00425

Definition

An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

1076 N MAIN ST, Providence, RI 02904

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Other Providers at the Same Location NPPES 13

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

MR. NICHOLAS RYAN LAMBERTON PA

Physician Assistant