SHANNON NICOLE BAUMGARTNER


Address: 390 Toll Gate Rd Ste 201, Warwick, RI 02886-4326
Phone: 4017388800

SHANNON NICOLE BAUMGARTNER (NPI# 1346874039) 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) 1346874039
Entity Type Individual
Full Name SHANNON NICOLE BAUMGARTNER
Credential WHNP-BC
Practice Address 390 Toll Gate Rd Ste 201
Warwick
RI 02886-4326
Mailing Address 164 Ash St Unit 1
Waltham
MA 02453-5115
Practice Telephone 4017388800
Mailing Telephone 4436248748
Enumeration Date 2020-03-03
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
APRN02435 RI Physician Assistants & Advanced Practice Nursing Providers
N 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
APRN02435 RI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
190 Bridge St Apt 4413, Salem, MA 019707402 4436248748

Office Location

Street Address 390 TOLL GATE RD STE 201
City WARWICK
State RI
Zip Code 02886-4326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417014432 Drs. Nisbet and Scott, Inc. Obstetrics & Gynecology 390 Toll Gate Rd Ste 201, Warwick, RI 02886-4326 2007-01-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528694445 Sheri Lynn Sklarz Specialist 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 2020-03-23
1316581424 Dr. Degiulio & Associates Inc Optometrist 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 2019-10-31
1255813291 Samantha Pena Moore Behavioral Analyst 3446 Post Road, Warwick, RI 02886 2018-09-06
1912496209 Martin Jude Cotti Internal Medicine 455 Toll Gate Rd., Warwick, RI 02886 2018-05-02
1447764261 Cynthia A Lessard Nurse Practitioner 15 Health Lane, Warwick, RI 02886 2017-12-01
1538687520 David A. Bennett Registered Nurse 2756 Post Road, Warwick, RI 02886 2017-08-30
1427585223 Brittany Teixeira Counselor 85 Earl Street, Warwick, RI 02886 2017-05-11
1497125199 Aiden Philip Cwynar Optometrist 1050 Centerville Road, Warwick, RI 02886 2015-10-07
1104221738 Wilfredo L Sancianco Dmd Inc Preferred Provider Organization 3411 W Shiore Rd, Warwick, RI 02886 2014-10-24
1831508662 Matthew Bryant Mitchell Physical Therapist 400 Bald Hill Rd #511, Warwick, RI 02886 2014-08-06
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1437776978 Kimberly Ann Kozlosky Nurse Practitioner 29 Nooseneck Hill Rd, Wyoming, RI 02898-1004 2020-07-01
1558840942 Kathleen Rose Markiewicz Nurse Practitioner 325 Plain Street, Suite 401, Providence, RI 02905-2401 2018-08-07
1174931216 Willa R. Campbell Nurse Practitioner 168 Betty Pond Rd, Hope, RI 02831-1123 2014-07-31
1093369936 Jacalyn Sue Finerty Nurse Practitioner 101 Dudley St, Providence, RI 02905-2499 2019-07-29
1134699812 Rachel A Eaton Nurse Practitioner 1 Cunningham Sq, Providence, RI 02918-7001 2018-11-26
1164991907 Gabrielle Marie Kovarie Nurse Practitioner 1 Blackstone Pl, Providence, RI 02903-4942 2018-11-23
1467974873 Jessica L Wood Nurse Practitioner 101 Dudley Street, Wih Triage/ldr, Providence, RI 02905-2401 2017-07-07
1912438581 Ariana Ann Saccoccio Nurse Practitioner 1 Blackstone Street, 2nd Floor, Providence, RI 02903 2017-03-24
1689125775 Mary Lou Lyons Nurse Practitioner 100 Ochre Point Ave, Newport, RI 02840-4149 2016-10-24
1790231736 Mary Beth Dromgoole Nurse Practitioner 593 Eddy St, Jane Brown 2 South, Providence, RI 02903-4923 2016-08-30
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Competitor

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City WARWICK
Zip Code 02886

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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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