MARY WHITTENHALL (NPI# 1205231081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205231081 |
| Entity Type | Individual |
| Full Name | MARY WHITTENHALL |
| Practice Address |
375 Wampanoag Trl Suite 302b Riverside RI 02915-2232 |
| Mailing Address |
17 Virginia Ave Suite 107 Providence RI 02905-4406 |
| Practice Telephone | 4016494070 |
| Practice Fax Number | 4016494071 |
| Mailing Telephone | 4014434992 |
| Mailing Fax Number | 4017844902 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NPP37933 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN01320 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
375 WAMPANOAG TRL SUITE 302B |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955071 | Marina F Rodriguez | Internal Medicine | 375 Wampanoag Trl, Suite 201, Riverside, RI 02915-2212 | 2005-07-08 |
| 1235789231 | Maxwell Hogue | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-09-12 |
| 1114574860 | Lindsey Harris | Physical Therapist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-08-19 |
| 1447713680 | Kate M Guthrie | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2019-04-12 |
| 1386159069 | Aletheia Yuri Miyake Shen | Nurse Practitioner | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2017-12-04 |
| 1699223404 | Silver Fern Practice, LLC | Physical Therapist | 375 Wampanoag Trl, Suite 403, Riverside, RI 02915-2232 | 2016-09-21 |
| 1528433489 | Cerissa Blaney | Psychologist | 375 Wampanoag Trl, Riverside, RI 02915-2232 | 2015-12-03 |
| 1649602863 | Amanda J. Fernandes | Internal Medicine | 375 Wampanoag Trl, Riverside, RI 02915 | 2013-07-30 |
| 1861749327 | Laura A. Massa | Nurse Practitioner | 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915-2232 | 2012-08-14 |
| 1376821793 | Iva Neupane | Internal Medicine | 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2232 | 2011-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356869846 | Romeo Reyes Ladero Jr. | Nurse Practitioner | 4500 Brockton Ave Ste 305, Riverside, CA 92501-4027 | 2017-09-05 |
| 1043409790 | Donna Marie Rondeau-marzullo | Nurse Practitioner | 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2232 | 2007-10-18 |
| 1710960489 | Marianne V Hurley | Nurse Practitioner | 375 Wampanoag Trl, Suite 102, Riverside, RI 02915-2212 | 2005-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285261339 | Saina Cadet | Nurse Practitioner | 3 Loring Ln, North Providence, RI 02904-3011 | 2020-03-26 |
| 1588196133 | Elisabeth Marie Butler | Nurse Practitioner | 114 Swift St, Providence, RI 02904-1437 | 2017-04-03 |
| 1215482831 | Cynthia Ruggiero | Nurse Practitioner | 222 Jefferson Blvd Ste 200, Warwick, RI 02888-3855 | 2016-08-24 |
| 1467712661 | Joan Theresa Walton | Nurse Practitioner | 34 Wilton Ave, Pawtucket, RI 02861-2916 | 2012-05-22 |
| 1881902096 | Diane Marie Costa | Nurse Practitioner | 42 Basswood Dr, Bristol, RI 02809-4912 | 2010-09-22 |
| 1053590224 | Christine Marie Hall | Nurse Practitioner | 155 Wickford Point Rd, North Kingstown, RI 02852-4049 | 2007-10-24 |
| 1194774943 | Genesis Elder Care Physician Services LLC | Nurse Practitioner | 660 Commonwealth Avenue, Warwick, RI 02886-2707 | 2006-05-09 |
| 1295369452 | Mary Ann Caouette | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-02-26 |
| 1679104236 | Jamie Lee Delacruz | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-01-31 |
| 1649838400 | Colin Brian Burns | Nurse Practitioner | 25 Wells St, Westerly, RI 02891-2922 | 2019-06-05 |
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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.