MR. JASON P OLIVEIRA (RD, LDN) – Registered Dietitian, NPI 1033402003

MR. JASON P OLIVEIRA (RD, LDN) is a healthcare provider. based in Port charlotte, Florida. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LDN. They hold a License No. ND11059 (FL). The NPI Number for MR. JASON P OLIVEIRA (RD, LDN) is 1033402003

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. JASON P OLIVEIRA (RD, LDN)
NPI
1033402003
Phone
(401) 585-4560
Address
4255 Collingswood Blvd
Enumeration Date
24 May 2011
Last Update Date
15 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4015854560
Graduation Year
2004 (22 years ago)
PAC ID
5991971129
Professional Enrollment ID
I20230328000527
Address ID
FL339488819PO4255XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:15State licenses:3Digital endpointsOther names

355 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in FL

Provider Addresses for MR. JASON P OLIVEIRA (RD, LDN)

  • 4255 Collingswood Blvd

    Port Charlotte, FL 339488819

    Phone: (401) 585-4560

    Type: Location

  • 1 JAMES P. MURPHY HIGHWAY

    WEST WARWICK, RI 029892366

    Phone: (401) 615-5538

    Fax: (401) 615-8137

    Type: Location

  • 1 AUGUSTA ST

    PROVIDENCE, RI 029081501

    Phone: (401) 585-4560

    Type: Mailing

  • 1 JAMES P MURPHY IND HWY

    WEST WARWICK, RI 028932447

    Phone: (401) 615-5538

    Fax: (401) 615-8137

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120110000246IRegistered Dietitian Or Nutrition ProfessionalRITBD
I20230328000527IRegistered Dietitian Or Nutrition ProfessionalFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33948)

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Reviews

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Frequently asked questions

Can I cross-check MR. JASON P OLIVEIRA (RD, LDN) using NPI 1033402003?
NPI 1033402003 belongs to MR. JASON P OLIVEIRA (RD, LDN); compare other details if you need extra assurance.
Would MR. JASON P OLIVEIRA (RD, LDN) appear as active to a payer?
You can treat MR. JASON P OLIVEIRA (RD, LDN) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. JASON P OLIVEIRA (RD, LDN)?
MR. JASON P OLIVEIRA (RD, LDN)'s specialty line reads Registered Dietitian. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. JASON P OLIVEIRA (RD, LDN)?
Directory geography for MR. JASON P OLIVEIRA (RD, LDN) centers on Port Charlotte, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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