KRISTIE MARIE MASSUCCI


Address: 1000 Eddy St, Providence, RI 02905-4739
Phone: 4015339100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
RN57382 RI Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI ES01788 05
RI NEIGHBORHOOD HEALTH 0614 01
RI BLUE CROSS SB870 01

Office Location

Street Address 1000 EDDY ST
City PROVIDENCE
State RI
Zip Code 02905-4739

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PROVIDENCE
Zip Code 02905

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Dataset Information

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.

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