Provider Demographics
NPI:1588751259
Name:MCALLISTER, AMY (RDN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:MCALLISTER
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:ZUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-6022
Mailing Address - Country:US
Mailing Address - Phone:401-578-4174
Mailing Address - Fax:
Practice Address - Street 1:36 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-6022
Practice Address - Country:US
Practice Address - Phone:401-578-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00077133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered