MRS. TERESA ALICE KELLY-BERRY (NPI# 1124035381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124035381 |
| Entity Type | Individual |
| Full Name | MRS. TERESA ALICE KELLY-BERRY |
| Credential | P.T. |
| Practice Address |
250 Wampanoag Trl Suite301 Riverside RI 02915-2218 |
| Practice Telephone | 4014511234 |
| Mailing Telephone | 4014511234 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT00638 | RI | Other Service Providers |
| Street Address |
250 WAMPANOAG TRL SUITE301 |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975802 | Lisa Marie Frappier | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 202, Riverside, RI 02915 | 2005-07-12 |
| 1669038345 | Allen Jeremiah Fish | Massage Therapist | 250 Wampanoag Trl, Riverside, RI 02915-2218 | 2019-05-17 |
| 1902130594 | Lilia Romero-bosch, LLC | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 303, Riverside, RI 02915-2218 | 2009-09-29 |
| 1598910457 | Urologic Specialists of New England, LLC | Urology | 250 Wampanoag Trl, Suite 203, Riverside, RI 02915-2218 | 2008-11-19 |
| 1386805000 | Karren Morrone Dac Ms Pt LLC | Physical Therapist | 250 Wampanoag Trl, Suite 301, Riverside, RI 02915-2218 | 2008-06-25 |
| 1225298953 | Karren Morrone Dac Ms Pt LLC | Acupuncturist | 250 Wampanoag Trl, Suite 301, Riverside, RI 02915-2218 | 2008-06-16 |
| 1437224136 | Mary Leona Lussier | Psychiatry & Neurology | 250 Wampanoag Trl, Ste 204, Riverside, RI 02915-2218 | 2006-11-21 |
| 1801975545 | David M Greenberg | Podiatrist | 250 Wampanoag Trl, Suite 205 Rhode Island Foot Care Inc, Riverside, RI 02915-2218 | 2006-11-03 |
| 1285643122 | John J Darby | Dentist | 250 Wampanoag Trl, Suite 103, Riverside, RI 02915-2218 | 2006-08-07 |
| 1740295328 | Gerard G. Gagne, Jr. Md General Adult Psychiatry | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 303, Riverside, RI 02915-2218 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 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 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
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| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1295275808 | Eastern Comprehensive Medical Services | Specialist | 106 Sheephill Rd, Riverside, CT 06878-1120 | 2017-03-01 |
| 1245778331 | Lynn Nevatt | Specialist | 3833 Jurupa Ave, Riverside, CA 92506-2221 | 2017-02-08 |
| 1093264145 | Nephrology Associates Medical Group, Inc. | Specialist | 3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071 | 2016-09-30 |
| 1639625247 | Dana Keim | Specialist | 6864 Indiana Ave Ste 104a, Riverside, CA 92506 | 2016-09-01 |
| 1720401615 | Matthew Martinez | Specialist | 8205 Coleman St, Riverside, CA 92504-3107 | 2014-01-28 |
| 1649512575 | Michael C Luciano | Specialist | 3120 Chicago Ave, Suite #170, Riverside, CA 92507-3490 | 2013-03-18 |
| 1508110461 | Luis Angel Calvillo Jr. | Specialist | 246 Plews Ct, Riverside, CA 92507-1100 | 2012-10-30 |
| 1639474513 | Jeanne Dunkel | Specialist | 3529 Hoover St, Riverside, CA 92504-3907 | 2011-01-24 |
| Find all providers in RIVERSIDE | ||||
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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.