TY-EISHA RIVERA


Address: 593 Eddy St, Providence, RI 02903-4923
Phone: 4014446268

TY-EISHA RIVERA (NPI# 1093264228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093264228
Entity Type Individual
Full Name TY-EISHA RIVERA
Practice Address 593 Eddy St
Providence
RI 02903-4923
Mailing Address 593 Eddy St
Hasbro 122
Providence
RI 02903-4923
Practice Telephone 4014446268
Practice Fax Number 4014447409
Mailing Telephone 4014446268
Mailing Fax Number 4014447409
Enumeration Date 2016-09-29
Last Update Date 2016-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI CERTIFICATE 5127 01

Office Location

Street Address 593 EDDY ST
City PROVIDENCE
State RI
Zip Code 02903-4923

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952306185 Mitchel A Sklar Internal Medicine 593 Eddy St, Providence, RI 02903-4923 2005-06-15
1376140707 Kristen Marie Czekanski Student in an Organized Health Care Education/Training Program 593 Eddy St, Providence, RI 02903-4923 2020-10-08
1326645300 Elizabeth Stefanilo Nurse Practitioner 593 Eddy St, Providence, RI 02903-4923 2020-10-03
1841807633 Julie Walden Student in an Organized Health Care Education/Training Program 593 Eddy St, Providence, RI 02903-4923 2020-09-26
1417567751 Yigit Baykara Pathology 593 Eddy St, Providence, RI 02903-4923 2020-08-02
1588273064 Cassandra Pagnotta Dietitian, Registered 593 Eddy St, Providence, RI 02903-4923 2020-07-30
1982213294 Sabitha Sasidharan Pillai Pediatrics 593 Eddy St, Providence, RI 02903-4923 2020-07-23
1861019481 Courtney Pedersen Emergency Medicine 593 Eddy St, Providence, RI 02903-4923 2020-06-30
1508483496 Mohammad Hisham Hout Urology 593 Eddy St, Providence, RI 02903-4923 2020-06-26
1639796642 Benjamin Hagan Emergency Medicine 593 Eddy St, Providence, RI 02903-4923 2020-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475755 Sarah Fellows Student in an Organized Health Care Education/Training Program 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 2020-10-20
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1720619489 Ivy Marie Mcdonald Behavioral Analyst 290 W Exchange St #101, Providence, RI 02903 2020-01-31
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760049522 Daniel Steven Alanko Pediatrics 293 Eddy Street, Providence, RI 02903 2019-05-28
1154894368 Margaret Emily Dyson Behavior Technician 290 W. Exchange St, Providence, RI 02903 2019-01-10
1497235014 Yao Zhou Liu Surgery 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 2018-08-14
1558840645 Tamara Gore Behavior Technician 290 W Exchange Street Suite 101, Providence, RI 02903 2018-08-09
1437642709 Adrian Cotarelo Student in an Organized Health Care Education/Training Program 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 2018-06-12
1356833024 Natalie Rita Noonan Clinical Neuropsychologist 593 Eddy St Ste 430, Providence, RI 02903 2018-05-30
Find all providers in zip 02903

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164847380 Cheryl Mandel Specialist 127 Irving Ave Apt 3, Providence, RI 02906-4544 2014-02-25
1962719773 Megan Elizabeth Gillard Specialist 1000 Eddy Sttreet, Providence, RI 02905 2010-09-01
1053642611 Robert Patrick Bowe Specialist 420 Angell St, Providence, RI 02906-4444 2010-01-21
1972832814 Deborah A. Newell Specialist 10000 Eddy Street, Providence, RI 02905 2009-12-23
1669529004 Jack Morton Monchik Specialist 154 Waterman Street, Providence, RI 02906-5713 2007-01-05
1588679385 Lifespan/physicians Pso Billing Services Specialist 167 Point St, Coro 3a, Providence, RI 02903-4771 2006-07-30
1821020231 Fernanda Goncalves Specialist 1000 Eddy Str., Providence, RI 02905 2006-07-07
1437123403 Rebecca Mary Brown Specialist 700 Smith St, Providence, RI 02908 2006-02-15
1861486664 Martin R Papazian Specialist 148 W River St, Suite 2a, Providence, RI 02904-2615 2005-09-07
1558364604 Marc S Weinberg Specialist 1 Randall Sq Ste 304, Providence, RI 02904-2773 2005-05-23
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02903

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Dataset Information

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.

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