JESSIC A DEVINE (NPI# 1013354430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013354430 |
Entity Type | Individual |
Full Name | JESSIC A DEVINE |
Credential | RN |
Practice Address |
164 Summit Ave Suite C Providence RI 02906-2853 |
Practice Telephone | 4017937243 |
Practice Fax Number | 4017932953 |
Mailing Telephone | 4017937243 |
Mailing Fax Number | 4017932953 |
Enumeration Date | 2013-05-24 |
Last Update Date | 2013-05-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
RN46601 | RI | Nursing Service Providers |
Street Address |
164 SUMMIT AVE SUITE C |
City | PROVIDENCE |
State | RI |
Zip Code | 02906-2853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558369512 | Josephine Salhab | Physician Assistant | 164 Summit Ave, Rm C70, Providence, RI 02906-2853 | 2005-07-13 |
1619519865 | Sarah Mcnerney | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2019-10-09 |
1831743095 | Tracy Lynn Carraggi | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2853 | 2019-07-26 |
1689233975 | Nicole Parascandolo | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2894 | 2019-06-10 |
1164992558 | Lisha Andrew | Dietitian, Registered | 164 Summit Ave, Providence, RI 02906-2894 | 2018-11-28 |
1689156242 | Monique Coley | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2894 | 2018-08-30 |
1235615006 | Sameh Mohamed | Internal Medicine | 164 Summit Ave, Providence, RI 02906-2894 | 2018-07-16 |
1578058087 | Noor N Safadi | Physician Assistant | 164 Summit Ave, Providence, RI 02906-2853 | 2018-06-27 |
1356847172 | Heidi Jimenez | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-04-02 |
1831694439 | Laura Canavan | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906 | 2018-03-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
Find all providers in zip 02906 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104353309 | Wendy Ann Lunny | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2017-05-18 |
1588825111 | Pilar Capili | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2008-06-17 |
1518176759 | Mary Young | Registered Nurse | 2 Dudley St, Providence, RI 02905-3236 | 2007-05-22 |
1417165374 | Angelia Yvette Gbai | Registered Nurse | 2 Dudley St, Providence, RI 02905-3236 | 2007-05-21 |
1326256207 | Lorraine Therese Kitchen | Registered Nurse | 2 Dudley St, Surgical Clinics Suite 170, Providence, RI 02905-3236 | 2007-05-21 |
1891903233 | Janice Mckenna | Registered Nurse | 593 Eddy St, Providence, RI 02903-4923 | 2007-05-18 |
1528276227 | Kimberly Conklin | Registered Nurse | 593 Eddy St, Apc-5, Providence, RI 02903-4923 | 2007-05-18 |
1891903217 | Susan E Costa | Registered Nurse | 593 Eddy St, Apc 5th Floor, Providence, RI 02903-4923 | 2007-05-18 |
1154538106 | Ann Delores Joseph | Registered Nurse | 593 Eddy St, Apc 5th Floor, Providence, RI 02903-4923 | 2007-05-17 |
1073720926 | Deborah Burbank | Registered Nurse | 593 Eddy St, Apc 5th Floor, Providence, RI 02903-4923 | 2007-05-17 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02906 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.