BETHANY KNORR (NPI# 1124485941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124485941 |
| Entity Type | Individual |
| Full Name | BETHANY KNORR |
| Other Name | BETHANY SOUCY |
| Credential | PA-C |
| Practice Address |
268 Post Rd Westerly RI 02891-6600 |
| Mailing Address |
Po Box 229 Wakefield RI 02880-0229 |
| Practice Telephone | 4016042500 |
| Mailing Telephone | 4017888757 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00859 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 825 Chalkstone Ave, Providence, RI 029084728 | 4014562000 | |
| 3461 S County Trl, East Greenwich, RI 028181465 | 4014716740 |
| Street Address |
268 POST RD |
| City | WESTERLY |
| State | RI |
| Zip Code | 02891-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003853268 | Robert E Fox | Internal Medicine | 268 Post Rd, Suite 203, Westerly, RI 02891-6600 | 2006-05-31 |
| 1700249851 | Silver Spring Health Care Management, Inc. | Emergency Medicine | 268 Post Rd, Westerly, RI 02891-6600 | 2016-04-05 |
| 1770985962 | Thomas Gerrish | Physical Therapist | 268 Post Rd, Westerly, RI 02891-6600 | 2014-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
| 1235554072 | Ocean State Urgent Care Center of Westerly, LLC | Clinic/Center | 77 Franklin Street, Westerly, RI 02891 | 2014-03-04 |
| 1972843530 | Christine Elizabeth Mcauliffe | Psychologist | 93 Tower Street, Westerly, RI 02891 | 2013-02-19 |
| 1902156631 | Gustave Polzer Brucker Iv | Physical Therapist | 33 Pearl Street, Westerly, RI 02891 | 2012-09-10 |
| 1194964098 | Katherine Anne Chesson | Social Worker | 16 High St Ste 6, Westerly, RI 02891 | 2009-02-17 |
| 1679758114 | Rhode Island Cvs Pharmacy,l.l.c. | Durable Medical Equipment & Medical Supplies | 151 Franklin St., Westerly, RI 02891 | 2008-01-03 |
| 1316060346 | Glen Edward Foden | Dentist | 13 Grove Avenue, Westerly, RI 02891 | 2007-04-06 |
| 1144344888 | Town of Westerly | Local Education Agency (LEA) | 15 Highland Avenue, Westerly, RI 02891 | 2007-03-19 |
| 1144365644 | Babcock Village Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Cross Street, Westerly, RI 02891 | 2007-02-21 |
| 1477698298 | Monica Lee Bailey | Counselor | 28 Wells Street, Westerly, RI 02891 | 2007-02-20 |
| Find all providers in zip 02891 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689602625 | Gary V Haynes | Physician Assistant | 151 Franklin St, Westerly, RI 02891-3132 | 2006-06-29 |
| 1891758181 | Nancy Staley | Physician Assistant | 55 Beach St, Westerly, RI 02891-2728 | 2006-04-09 |
| 1093777302 | Frank J Toole IIi | Physician Assistant | 81 Beach St, Westerly, RI 02891 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243311 | Sara Lafreniere | Physician Assistant | 18 Millers Brook Dr, Cumberland, RI 02864-6132 | 2020-07-24 |
| 1962962589 | Delaney Horsley | Physician Assistant | 472 W Fountain St Apt 1, Providence, RI 02903-3570 | 2019-03-20 |
| 1154807717 | Ocean State Primary, LLC | Physician Assistant | 300 Toll Gate Rd Ste 101b, Warwick, RI 02886-4447 | 2018-07-17 |
| 1447753728 | Joseph Desrosiers II | Physician Assistant | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2018-03-13 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1275601056 | Michael Anthony Mcgourty | Physician Assistant | 93 Thames St, Newport, RI 02840-2536 | 2006-12-01 |
| 1629168901 | Ri Departmenf of Corrections | Physician Assistant | 39 Howard Ave, Cranston, RI 02920-3001 | 2006-10-15 |
| 1962598516 | Walter Deluca | Physician Assistant | 684 Warren Ave, East Providence, RI 02914-1405 | 2006-10-04 |
| 1225138597 | Hope Ellen Burns | Physician Assistant | 1145 Main St, Pawtucket, RI 02860-4807 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
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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.