Healthcare Provider Details

I. General information

NPI: 1942191622
Provider Name (Legal Business Name): DANAE ELLEN CARBONE MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 RED OAK DR
CRANSTON RI
02921-2587
US

IV. Provider business mailing address

420 SCRABBLETOWN RD STE A
NORTH KINGSTOWN RI
02852-3638
US

V. Phone/Fax

Practice location:
  • Phone: 401-419-5615
  • Fax:
Mailing address:
  • Phone: 401-895-9937
  • Fax: 401-296-3998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN01557
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: