Jaquelyn Litwak, MS, RD, LDN
Dietitian, Registered in Providence, RI. Individual provider (NPI-1).
NPI number1801547963
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1801547963
- Entity type
- Individual (NPI-1)
- Name
- Jaquelyn Litwak
- Credential
- MS, RD, LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2022
- Certification date
- Nov 2, 2026
- Last updated
- Nov 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86107830 | MA | Yes |
Practice location
20 Messer St # 4Providence, RI 02909-2006
Phone 508-735-0057
Mailing address
20 Messer St # 4Providence, RI 02909-2006
Phone 508-735-0057
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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