MEDICARE: ANNE K FUGERE RDN, LDN, CLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LDN01258	RI

General Provider Information

NPI Number	:	1861192445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE K FUGERE RDN, LDN, CLC

Provider Business Mailing Address
First Line	:	320 PHILLIPS ST STE 203
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-5149
Country	:	US
Telephone Number	:	401-584-2833
Fax Number	:	401-633-6956

Provider Business Practice Location Address
First Line	:	320 PHILLIPS ST STE 203
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-5149
Country	:	US
Telephone Number	:	401-584-2833
Fax Number	:	401-633-6956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	12/29/2025

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