KRISTIE MARIE MASSUCCI (NPI# 1194283598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194283598 |
Entity Type | Individual |
Full Name | KRISTIE MARIE MASSUCCI |
Practice Address |
1000 Eddy St Providence RI 02905-4739 |
Practice Telephone | 4015339100 |
Practice Fax Number | 4015339105 |
Mailing Telephone | 4015339100 |
Mailing Fax Number | 4015339105 |
Enumeration Date | 2019-03-05 |
Last Update Date | 2019-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN57382 | RI | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | ES01788 | 05 | |
RI | NEIGHBORHOOD HEALTH | 0614 | 01 |
RI | BLUE CROSS | SB870 | 01 |
Street Address |
1000 EDDY ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02905-4739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215967591 | Kelly C Mayer | Occupational Therapist | 1000 Eddy St, Providence, RI 02905-4739 | 2006-07-03 |
1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
1093352213 | Atrik M Pineda | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-12-06 |
1396380853 | Jennifer Wright | Occupational Therapist | 1000 Eddy St, Providence, RI 02905-4739 | 2019-11-08 |
1730723529 | Alyssa Sands | Speech-Language Pathologist | 1000 Eddy St, Providence, RI 02905-4739 | 2019-11-05 |
1760024210 | Ellen Sauco | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-16 |
1093357725 | Neftali Aponte | Interpreter | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-15 |
1578105169 | Wendy Oliveira | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-10-15 |
1013566678 | Arianna Denise Miche | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-09-06 |
1447809397 | Bianca Archila | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2019-09-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
Find all providers in zip 02905 |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528176518 | Maureen C Alvarez | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-08-29 |
1376554618 | Claire Dorothy Bourgault | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639736002 | Jennifer Oliveira-bento | Registered Nurse | 72 Bay View Ave, Bristol, RI 02809-3421 | 2019-05-21 |
1235764754 | Colton Cranson | Registered Nurse | 292 Broadway, Newport, RI 02840-2635 | 2020-03-04 |
1568887420 | Alisha Rioles | Registered Nurse | 101 Bacon St, Pawtucket, RI 02860-5542 | 2014-02-28 |
1730469123 | Karen Marley Cooper | Registered Nurse | 65 Valley Rd, Middletown, RI 02842-5234 | 2011-08-17 |
1790962777 | Karen J Cutting | Registered Nurse | 65 Valley Rd, Middletown, RI 02842-5234 | 2008-01-22 |
1679753396 | Melina A Abney | Registered Nurse | 65 Valley Rd, Middletown, RI 02842-5234 | 2007-11-09 |
1992829881 | Sandra L Dyl | Registered Nurse | 65 Valley Rd, Middletown, RI 02842-5234 | 2007-03-18 |
1588798649 | Nicole Morin | Registered Nurse | 1315 Main St, West Warwick, RI 02893-4807 | 2007-03-14 |
1841355567 | Diane Marie Fletcher | Registered Nurse | 610 Wampanoag Trl, Riverside, RI 02915-1504 | 2006-12-22 |
1972697506 | Virginia Mullen | Registered Nurse | 50 Health Lane, Warwick, RI 02886 | 2006-10-03 |
Find all providers with the same taxonomy |
City | PROVIDENCE |
Zip Code | 02905 |
Please comment or provide details below to improve the information on KRISTIE MARIE MASSUCCI.
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.