Andrea K. Ackerson, RD IBCLC
NPI 1356760391ActiveIndividual· Dietitian, Registered· Providence, RI
Dietitian, Registered (RD IBCLC) in Providence, Rhode Island, licensed in RI, with an NPI issued in April 2014.
Overview
| NPI | 1356760391 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD IBCLC |
| Sole proprietor | Yes |
| NPI issued | Apr 7, 2014 |
| Last updated in NPPES | Nov 5, 2025 |
| Certified by provider | Nov 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 928270 | RI |
| Lactation Consultant, Non-RN | 174N00000X | L56279 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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