MS. NICOLE LYNN FLANAGAN


Address: 250 Wampanoag Trl, Suite 202, Riverside, RI 02915-2218
Phone: 5086390922

MS. NICOLE LYNN FLANAGAN (NPI# 1093757916) 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) 1093757916
Entity Type Individual
Full Name MS. NICOLE LYNN FLANAGAN
Other Name MS. NICOLE LYNN LAMBERT
Credential RN, PMHNP-BC
Practice Address 250 Wampanoag Trl
Suite 202
Riverside
RI 02915-2218
Practice Telephone 5086390922
Practice Fax Number 4016336001
Mailing Telephone 5086390922
Mailing Fax Number 4016336001
Enumeration Date 2006-06-12
Last Update Date 2017-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN40482 RI Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APRN00477 RI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI UBH 1093757916 01
RI BLUE CROSS BLUE SHIELD 1093757916 01
RI TUFTS 1093757916 01
RI AETNA 1093757916 01
RI NF51367 05

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Office Location

Street Address 250 WAMPANOAG TRL
SUITE 202
City RIVERSIDE
State RI
Zip Code 02915-2218

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NPI Name Taxonomy Address Enumeration
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881101335 Brown Medicine Clinic/Center 62-68 Amaral Street, East Providence, RI 02915 2018-01-05
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1497041453 Bethany Marie Goldberg Nurse Practitioner 38 Amaral Street, Riverside, RI 02915 2011-06-28
1790078947 Matthew Lynch Internal Medicine 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 2011-05-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City RIVERSIDE
Zip Code 02915

Improve Information

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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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