| Kyla Shea, | |
|
850 Aquidneck Ave Ste A-5, Middletown, RI 02842-7280 | |
| (401) 396-9331 | |
| Not Available |
| Full Name | Kyla Shea |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 2 Years |
| Location | 850 Aquidneck Ave Ste A-5, Middletown, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598588113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evolution Nutrition Inc | 2163668518 | 25 |
| Provider Name | Evolution Nutrition Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336265800 PECOS PAC ID: 2163668518 Enrollment ID: O20130410000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyla Shea, 33 Canonchet Dr, Portsmouth, RI 02871-4201 Ph: (401) 871-4863 | Kyla Shea, 850 Aquidneck Ave Ste A-5, Middletown, RI 02842-7280 Ph: (401) 396-9331 |
Megan Tessier Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26 Valley Rd Ste 104, Middletown, RI 02842 Phone: 401-236-5071 Fax: 401-563-9768 |
Alexandra Castor, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4 Columbia Ct, Middletown, RI 02842 Phone: 541-514-7891 |
Megan Tessier, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 85 Compton View Dr, Middletown, RI 02842 Phone: 401-480-9265 |
Megan Belden, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 850 Aquidneck Ave, Middletown, RI 02842 Phone: 401-396-9331 |
Jaclyn Klayman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 850 Aquidneck Ave Ste A-5, Middletown, RI 02842 Phone: 401-396-9331 |