JENNA BOUTILIER (NPI# 1154657443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154657443 |
| Entity Type | Individual |
| Full Name | JENNA BOUTILIER |
| Credential | NP |
| Practice Address |
106 Nate Whipple Hwy Suite 101 Cumberland RI 02864-1403 |
| Mailing Address |
Po Box 27 Manville RI 02838-0027 |
| Practice Telephone | 4016582020 |
| Practice Fax Number | 4016583612 |
| Mailing Telephone | 8009270002 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NPP37529 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
106 NATE WHIPPLE HWY SUITE 101 |
| City | CUMBERLAND |
| State | RI |
| Zip Code | 02864-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974672 | Scott A Wilson | Internal Medicine | 106 Nate Whipple Hwy, Cumberland, RI 02864-1403 | 2005-07-06 |
| 1477078103 | Kristin Lynn Meegan | Nurse Practitioner | 106 Nate Whipple Hwy, Cumberland, RI 02864-1428 | 2017-08-03 |
| 1851848949 | Brookside Medical Associates, P.C. | Internal Medicine | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1428 | 2016-09-06 |
| 1073954376 | Leigh Ellen Larkin Dobbs | Nurse Practitioner | 106 Nate Whipple Hwy, Suite 101, Cumberland, RI 02864-1428 | 2013-07-15 |
| 1871772160 | Neenoofar Haneef | Internal Medicine | 106 Nate Whipple Hwy, Cumberland Medical Center, Cumberland, RI 02864-1403 | 2007-11-02 |
| 1043385354 | Northern Ri Allergy & Asthma Center | Allergy & Immunology | 106 Nate Whipple Hwy, Suite 201, Cumberland, RI 02864-1403 | 2006-11-21 |
| 1841397981 | Alan D Gaines | Allergy & Immunology | 106 Nate Whipple Hwy, Suite 201, Cumberland, RI 02864-1403 | 2006-09-20 |
| 1588646632 | Cathy J Schoorens | Family Medicine | 106 Nate Whipple Hwy, Cumberland, RI 02864-1403 | 2005-11-15 |
| 1063402964 | Physicians of Rhode Island Medical Enterprises, Inc. | Internal Medicine | 106 Nate Whipple Hwy, Suite 101 Cumberland Medical Center, Cumberland, RI 02864-1403 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
| 1861930489 | Emily Elizabeth Sullivan | Registered Nurse | 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 | 2017-02-02 |
| 1649613399 | Nathan Charpentier | Pharmacist | 1623 Mendon Rd, Cumberland, RI 02864 | 2013-04-12 |
| 1548503840 | Constantine Pagonis | Internal Medicine | 350 West Wrentham Road, Cumberland, RI 02864 | 2013-04-04 |
| 1124366778 | Tina Deroy | Physical Therapist | 100 Chambers Street, Cumberland, RI 02864 | 2013-01-16 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1245409978 | Kelly Ann Watier | Massage Therapist | 2180 Mendon Rd, Suite #32, Cumberland, RI 02864 | 2008-02-27 |
| 1003026725 | James Richard Ratcliffe | Dentist | 10 Chambers Street, Cumberland, RI 02864 | 2007-05-23 |
| 1184740706 | Paulo Jorge Da Rosa | Dentist | 20 Mill St., Suite #3, Cumberland, RI 02864 | 2007-03-22 |
| 1942325980 | Angeles V Felix | Dentist | 490 High St, Cumberland, RI 02864 | 2007-03-20 |
| Find all providers in zip 02864 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225261985 | Christine A. Hines | Nurse Practitioner | 1200 State Road 48, Cumberland, WI 54829-9406 | 2009-08-28 |
| 1902983687 | Denise Kim Bittner | Nurse Practitioner | 224 Washington St, Cumberland, MD 21502-2827 | 2006-11-01 |
| 1063517464 | Jayne L Rieper | Nurse Practitioner | 1200 State Hwy 48, Cumberland, WI 54829-9406 | 2006-09-13 |
| 1760484208 | Christopher D Lewis | Nurse Practitioner | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 | 2005-08-15 |
| 1962002634 | Amy R Cessna | Nurse Practitioner | 14302 Barton Blvd Sw, Cumberland, MD 21502-5852 | 2020-10-30 |
| 1841821790 | Pete Allen Kuhn | Nurse Practitioner | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2020-01-30 |
| 1932744869 | Kristen Renee Kessel | Nurse Practitioner | 12502 Willowbrook Rd Ste 300, Cumberland, MD 21502-6498 | 2019-11-14 |
| 1609334093 | Christina Noel Burke | Nurse Practitioner | 12501 Willowbrook Rd, Cumberland, MD 21502-2569 | 2019-03-05 |
| 1669956017 | Charles Barrick | Nurse Practitioner | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2018-09-21 |
| 1750867362 | Krystal Abucevicz-swick | Nurse Practitioner | 12502 Willowbrook Rd, Cumberland, MD 21502-6491 | 2018-07-17 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 02864 |
Please comment or provide details below to improve the information on JENNA BOUTILIER.
| 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.