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Active NPI 1215408919 Individual Practitioner Female Practitioner

Coco Sparks , RDN, LDN

Dietitian, Registered • Providence, RI

Professional Overview & Biography Verified Profile Summary

Coco Sparks, RDN, LDN is a registered healthcare professional specializing in Dietitian, Registered in Providence, RI. Practice services are available at 30 BAYARD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Bayard St

Providence, RI 029063626

Telephone 6178776624

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

CMS Verified: 2025-11-12
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License RI LDN01314

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.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 12, 2025

Registered at 30 BAYARD ST, PROVIDENCE, RI 029063626 (Tel: 6178776624)

📍
Updated Business Mailing Address November 12, 2025

Registered at 30 BAYARD ST, PROVIDENCE, RI 029063626 (Tel: 6178776624)

👤
Provider Name / Credentials Updated November 12, 2025

Recorded as COCO SPARKS, RDN, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2025

Dietitian, Registered (License #LDN01314 in RI)

NPI Profile Active December 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2018

Registered at 123 S BROAD ST STE 1641, PHILADELPHIA, PA 191091027 (Tel: 2672052525)

📍
Updated Business Mailing Address December 07, 2018

Registered at 816 N 21ST ST APT 1, PHILADELPHIA, PA 191301402 (Tel: 7742780351)

👤
Provider Name / Credentials Updated December 07, 2018

Recorded as CORINNE ELLIS, RDN, LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2018

Dietitian, Registered (License #DN006615 in PA)

🟢
Initial NPI Registration & Enumeration December 07, 2018

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: 1215408919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2018
Last Update: November 12, 2025
Sole Proprietor: No

Mailing Address

30 Bayard St

Providence, RI 029063626

Phone: 6178776624

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.