MS. MARY JANE T CREELY


Address: 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674
Phone: 4018461213

MS. MARY JANE T CREELY (NPI# 1356484265) 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) 1356484265
Entity Type Individual
Full Name MS. MARY JANE T CREELY
Credential MS, RN, PCNS
Practice Address 127 Johnny Cake Hill Rd
Middletown
RI 02842-5674
Practice Telephone 4018461213
Practice Fax Number 4018489151
Mailing Telephone 4018461213
Mailing Fax Number 4018489151
Enumeration Date 2007-02-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
PNS00002 RI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI MC14017 05

Office Location

Street Address 127 JOHNNY CAKE HILL RD
City MIDDLETOWN
State RI
Zip Code 02842-5674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093713174 Newport County Community Mental Health Center, Inc. Case Management 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2005-07-12
1750980157 Jacqueline Marie Rogers Social Worker 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2020-10-19
1043836521 Janice Ann Bernstein Registered Nurse 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2020-06-22
1578189049 Korie Lynn Medeiros Registered Nurse 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2020-06-22
1578069365 Blanka Sumbarauskas Registered Nurse 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2018-04-02
1114430576 Jennifer Marilyn Peters Social Worker 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2017-11-08
1285145417 Alice Raim Counselor 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2017-10-16
1275059487 Jillian Mcleish Social Worker 127 Johnny Cake Hill Rd, Middletown, RI 02842 2017-08-18
1194250472 Alycia Goncalo Registered Nurse 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2017-04-25
1063946770 Cynthia Homen Registered Nurse 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 2017-04-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427671478 Shannon M. Pine Counselor E Admiralty Drive, 2, Middletown, RI 02842 2020-05-26
1912425968 Gail Demarco Registered Nurse 127 Johnnycake Hill Road, Middletown, RI 02842 2017-08-30
1790201861 Logan Christopher Menard Specialist/Technologist 4 Orville Drive, Middletown, RI 02842 2017-08-20
1295149714 Jacquelyn Marez Occupational Therapy Assistant 1998 West Main Rd, Middletown, RI 02842 2014-06-12
1144660465 Brittney Lea Barry Audiologist Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 2013-07-01
1912262445 Wendy S Drysdale Student in an Organized Health Care Education/Training Program 372 Purgatory Road, St. George's School, Middletown, RI 02842 2012-07-11
1912294778 Laurie B Phenix Pharmacist 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 2011-06-30
1023278249 Ann Marie Efflandt Speech-Language Pathologist 333 Green Ave, Middletown, RI 02842 2008-06-11
1669631487 Tiffany Bourquin Counselor 575 E Main Rd Unit 4, Middletown, RI 02842 2008-06-06
1104048396 Valley Primary Care Inc Family Medicine 294 Valley Road, Middletown, RI 02842 2007-05-03
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043461627 Caren Michelle Coffy-mccormick Clinical Nurse Specialist 292 Carter Dr, Suite B, Middletown, DE 19709-5846 2008-10-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821256009 Joan Wright Harrison Clinical Nurse Specialist 156 Meeting St, Providence, RI 02906-1321 2008-05-25
1063687317 Laura Beth Chalk Clinical Nurse Specialist 208 Governor St Fl 2, Providence, RI 02906-3246 2008-04-28
1063628717 Donald T. Bobola Clinical Nurse Specialist 170 Bradford St, Bristol, RI 02809-2367 2007-05-16
1225073638 The Miriam Hospital Clinical Nurse Specialist 146 W River St Ste 11a, Providence, RI 02904-2609 2006-06-19
1558328567 Catherine Anne Viens Clinical Nurse Specialist East Bay Center, 2 Old County Road, Barrington, RI 02806 2006-04-26
1497711030 Donna M Leite Clinical Nurse Specialist 1130 Ten Rod Rd Ste E-204, C/o Associates In Psychotherapy, North Kingstown, RI 02852 2006-04-22
1982118295 Canaan Psychotherapy Inc Clinical Nurse Specialist 85 Beach St, Westerly, RI 02891-2717 2017-11-22
1487177440 Julia Cole Burke Clinical Nurse Specialist 530 N Main St, Providence, RI 02904-5762 2017-07-21
1801246616 Garden City Psychiatry LLC Clinical Nurse Specialist 105 Sockanosset Cross Rd, Suite 320, Cranston, RI 02920-5560 2016-06-13
1245695964 Petitpas Psychiatric Services, LLC Clinical Nurse Specialist 900 Reservoir Ave, Ste.2, Cranston, RI 02910-4453 2015-12-22
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Competitor

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City MIDDLETOWN
Zip Code 02842

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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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