Provider Demographics
NPI:1366516692
Name:SANTURRI, BARBARA (MS, RD, LDN, CNSD)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:SANTURRI
Suffix:
Gender:F
Credentials:MS, RD, LDN, CNSD
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:DORNBURGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LDN, CNSD
Mailing Address - Street 1:167 POINT ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4771
Mailing Address - Country:US
Mailing Address - Phone:401-444-5640
Mailing Address - Fax:401-444-5642
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-6966
Practice Address - Fax:401-444-5642
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00574133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI410007Medicare Oscar/Certification