TABITHA ANN IMONDI (NPI# 1205350980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205350980 |
Entity Type | Individual |
Full Name | TABITHA ANN IMONDI |
Credential | PMHNP-BC |
Practice Address |
1525 Old Louisquisset Pike Ste 203 Lincoln RI 02865-4503 |
Mailing Address |
19 Jeffrey Dr North Scituate RI 02857-2939 |
Practice Telephone | 7742910617 |
Mailing Telephone | 4018296788 |
Enumeration Date | 2017-08-03 |
Last Update Date | 2019-04-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN01646 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
334 Broadway, Providence, RI 029091102 | 4014374116 |
Street Address |
1525 OLD LOUISQUISSET PIKE STE 203 |
City | LINCOLN |
State | RI |
Zip Code | 02865-4503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356805329 | Compassionate Care Counseling LLC | Social Worker | 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503 | 2019-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
Find all providers in zip 02865 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477186757 | Huong Le Psychiatric Care LLC | Nurse Practitioner | 4444 S 86th St Ste 102, Lincoln, NE 68526-9253 | 2020-02-15 |
1538622394 | Partners In Psychiatry LLC | Nurse Practitioner | 1525 Old Louisquisset Pike Ste B203, Lincoln, RI 02865-4522 | 2019-04-09 |
1891252219 | Shayla Hinrichsen | Nurse Practitioner | 5539 S 27th St Ste 101, Lincoln, NE 68512-1600 | 2019-02-21 |
1396293502 | Meaningful Psychiatric Services LLC | Nurse Practitioner | 9338 Forest Glen Dr, Lincoln, NE 68526-9636 | 2016-09-15 |
1578930376 | Heather Nielsen | Nurse Practitioner | 8550 Cuthills Cir Ste 100, Lincoln, NE 68526-9523 | 2015-08-27 |
1639568389 | Barry S Berumen Aprn-np, Pmhnp-bc, LLC | Nurse Practitioner | 810 N 48th St, Ste 1, Lincoln, NE 68504-3367 | 2015-01-19 |
1174762405 | Rebecca Kay Olander | Nurse Practitioner | 5539 South 27th St, Suite 101, Lincoln, NE 68512-1648 | 2009-02-10 |
1609068436 | Wendy Jo Hoins | Nurse Practitioner | 1763 Surfside Dr, Lincoln, NE 68528-1747 | 2007-08-15 |
1659589133 | Nathan Warner | Nurse Practitioner | 2222 S 16th St Ste 410, Lincoln, NE 68502-3785 | 2007-05-18 |
1568409001 | Dean Allan List | Nurse Practitioner | 8511 Augusta Dr, Lincoln, NE 68526-9572 | 2006-06-01 |
Find all providers in LINCOLN |
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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.