TABITHA ANN IMONDI


Address: 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503
Phone: 7742910617

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
334 Broadway, Providence, RI 029091102 4014374116

Office Location

Street Address 1525 OLD LOUISQUISSET PIKE STE 203
City LINCOLN
State RI
Zip Code 02865-4503

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LINCOLN
Zip Code 02865

Improve Information

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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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