ANDREA DEMERS (NPI# 1154395721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154395721 |
Entity Type | Individual |
Full Name | ANDREA DEMERS |
Credential | NP |
Practice Address |
725 Reservoir Ave Ste 6a Cranston RI 02910-4450 |
Practice Telephone | 4018294446 |
Practice Fax Number | 4018294434 |
Mailing Telephone | 4019446889 |
Mailing Fax Number | 4019446726 |
Enumeration Date | 2006-02-13 |
Last Update Date | 2019-02-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | NPP37469 | RI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | 208133 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN01313 | RI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110015668A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
55 Lake Ave N, Department of Surgery, Worcester, MA 016550002 | 5088560605 | 5088565074 |
Street Address |
725 RESERVOIR AVE STE 6A |
City | CRANSTON |
State | RI |
Zip Code | 02910-4450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639166655 | Dennis D Botelho | Internal Medicine | 725 Reservoir Ave Ste 6a, Cranston, RI 02910-4450 | 2005-10-04 |
1538659081 | Trucare Inc | Internal Medicine | 725 Reservoir Ave Ste 6a, Cranston, RI 02910-4450 | 2018-05-10 |
1659354546 | Vera A. Depalo | Internal Medicine | 725 Reservoir Ave Ste 6a, Cranston, RI 02910 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
Find all providers in zip 02910 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073110714 | Kathleen Patricia Natareno | Nurse Practitioner | 1960 Cranston St, Cranston, RI 02920-3969 | 2020-10-06 |
1720347123 | Kimberly Anna Propert | Nurse Practitioner | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2012-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407474042 | Arabia Songs Kopec | Nurse Practitioner | 63-65 Eddie Dowling Highway, North Smithfield, RI 02896 | 2020-07-09 |
1699339721 | Melissa Cardona | Nurse Practitioner | 164 Summit Ave Fl 2, Providence, RI 02906-2853 | 2019-04-24 |
1801375605 | Cecelia Glynn Echevarria | Nurse Practitioner | 25 John Kesson Ln, Middletown, RI 02842-4654 | 2018-08-13 |
1811499668 | Allison Rosener Ford | Nurse Practitioner | Neuro-critical Care, 593 Eddy Street, Providence, RI 02903-4923 | 2018-03-07 |
1134657505 | Emily Daniell | Nurse Practitioner | 830 Chalkstone Ave Fl 3e, Providence, RI 02908-4734 | 2017-05-31 |
1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
1467995142 | Lindsay Mook | Nurse Practitioner | 82 Robinson St, Wakefield, RI 02879-3526 | 2016-11-29 |
1477931913 | Linda Otway Colvin | Nurse Practitioner | 16 Woodland Ter, Providence, RI 02906-5807 | 2015-05-17 |
1184031973 | Anne Goldstein Silbert | Nurse Practitioner | 2 Dudley St Ste 360, Providence, RI 02905-3248 | 2014-07-14 |
1780299594 | Bonnie Ann Blaney | Nurse Practitioner | 235 Plain St, Providence, RI 02905-3240 | 2020-09-09 |
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.