Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033246574 Individual Practitioner Female Practitioner

Amy Modracek , RD

Dietitian, Registered • Providence, RI

Professional Overview & Biography Verified Profile Summary

Amy Modracek, RD is a registered healthcare professional specializing in Dietitian, Registered in Providence, RI. Practice services are available at 134 THURBERS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

134 Thurbers Ave
Family Service Of Rhode Island

Providence, RI 029054754

Telephone 4013311350
Fax 4012773366
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
141 Specialists

Practicing in Providence, RI (372 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License RI LDN00543

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License MA RD657

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carolanne Geffroy , LICSW

Social Worker - Clinical

NPI 1023330990

Licensed Independent Clinical Social Worker

Mildred Bates , LICSW

Social Worker - Clinical

NPI 1033268438

Licensed Independent Clinical Social Worker

NPI 1033438056

Licensed Clinical Social Worker

Nicole Ortiz , LCSW

Social Worker - Clinical

NPI 1053158568

Licensed Clinical Social Worker

Diane Shemtov , LICSW

Social Worker - Clinical

NPI 1053453431

Licensed Independent Clinical Social Worker

Carol Reinert , LCDP

Counselor - Mental Health

NPI 1053467936

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 134 THURBERS AVE, FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 029054754 (Tel: 4013311350)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1440 PHILLIPS RD, NEW BEDFORD, MA 027451958

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as AMY MODRACEK, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dietitian, Registered (License #LDN00543 in RI)

🟢
Initial NPI Registration & Enumeration February 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033246574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1440 Phillips Rd

New Bedford, MA 027451958

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.