Healthcare Provider Details

I. General information

NPI: 1619201985
Provider Name (Legal Business Name): DIANA ROSE BEATON R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2009
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

869 POST RD
WARWICK RI
02888-3360
US

IV. Provider business mailing address

8 COUNTRY CLUB DR
WARWICK RI
02888-4916
US

V. Phone/Fax

Practice location:
  • Phone: 401-439-1028
  • Fax:
Mailing address:
  • Phone: 401-439-1028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN 00371
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: