MS. HOLLI JEAN BROUSSEAU (NPI# 1225434558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225434558 |
Entity Type | Individual |
Full Name | MS. HOLLI JEAN BROUSSEAU |
Credential | NURSE PRACTITIONER |
Practice Address |
825 Chalkstone Ave Providence RI 02908-4728 |
Practice Telephone | 4014562000 |
Practice Fax Number | 4018619596 |
Mailing Telephone | 4014562000 |
Mailing Fax Number | 4018619596 |
Enumeration Date | 2014-11-13 |
Last Update Date | 2014-11-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
37937 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
825 CHALKSTONE AVE |
City | PROVIDENCE |
State | RI |
Zip Code | 02908-4728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467459263 | Ritesh Rathore | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-07 |
1821698903 | Afsana Jahan | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-28 |
1861090508 | Anthony Joseph Paoletta | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-14 |
1255941720 | Georgio Medawar | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
1265042733 | Jessica Khoury | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
1215547617 | Amy Remillard | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-31 |
1225647738 | Abdallah Mohamed | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-30 |
1467061309 | Catherine Ekladios | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
1982213948 | Jamal Al Ali | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
1811506793 | Sadollah Ghasempour Soleymani | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
Find all providers in zip 02908 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699339721 | Melissa Cardona | Nurse Practitioner | 164 Summit Ave Fl 2, Providence, RI 02906-2853 | 2019-04-24 |
1811499668 | Allison Rosener Ford | Nurse Practitioner | Neuro-critical Care, 593 Eddy Street, Providence, RI 02903-4923 | 2018-03-07 |
1134657505 | Emily Daniell | Nurse Practitioner | 830 Chalkstone Ave Fl 3e, Providence, RI 02908-4734 | 2017-05-31 |
1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
1477931913 | Linda Otway Colvin | Nurse Practitioner | 16 Woodland Ter, Providence, RI 02906-5807 | 2015-05-17 |
1184031973 | Anne Goldstein Silbert | Nurse Practitioner | 2 Dudley St Ste 360, Providence, RI 02905-3248 | 2014-07-14 |
1780299594 | Bonnie Ann Blaney | Nurse Practitioner | 235 Plain St, Providence, RI 02905-3240 | 2020-09-09 |
1083255509 | Beth Dufour | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2019-10-06 |
1831743095 | Tracy Lynn Carraggi | Nurse Practitioner | 164 Summit Ave, Providence, RI 02906-2853 | 2019-07-26 |
1780248922 | Audrey Ross | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2019-04-23 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02908 |
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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.