LEIGH ANN EDDY


Address: 164 Summit Ave, Providence, RI 02906-2853
Phone: 4017932800

LEIGH ANN EDDY (NPI# 1356486971) 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) 1356486971
Entity Type Individual
Full Name LEIGH ANN EDDY
Credential RNP
Practice Address 164 Summit Ave
Providence
RI 02906-2853
Mailing Address Po Box 3238
Boston
MA 02241-0001
Practice Telephone 4017932800
Practice Fax Number 4017934047
Mailing Telephone 8666898862
Mailing Fax Number 2073477401
Enumeration Date 2007-02-21
Last Update Date 2008-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner NPP37404 RI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI BLUECHIP 414156 01
RI LE68415 05
RI BCBS 32483-6 01

Office Location

Street Address 164 SUMMIT AVE
City PROVIDENCE
State RI
Zip Code 02906-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558369512 Josephine Salhab Physician Assistant 164 Summit Ave, Rm C70, Providence, RI 02906-2853 2005-07-13
1619519865 Sarah Mcnerney Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2019-10-09
1831743095 Tracy Lynn Carraggi Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2853 2019-07-26
1689233975 Nicole Parascandolo Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2894 2019-06-10
1164992558 Lisha Andrew Dietitian, Registered 164 Summit Ave, Providence, RI 02906-2894 2018-11-28
1689156242 Monique Coley Physician Assistant 164 Summit Ave, Providence, RI 02906-2894 2018-08-30
1235615006 Sameh Mohamed Internal Medicine 164 Summit Ave, Providence, RI 02906-2894 2018-07-16
1578058087 Noor N Safadi Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2018-06-27
1356847172 Heidi Jimenez Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-04-02
1831694439 Laura Canavan Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245175 Birdsong Traditional Medicine, LLC Acupuncturist 148 Waterman St. Ground Level, Providence, RI 02906 2020-08-13
1881218071 Madison Pomerantz Psychiatry & Neurology 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 2020-06-03
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043839848 Christine Terhune Nurse Practitioner 16 Grotto Ave Apt 4, Providence, RI 02906-5523 2020-04-11
1841502804 Diane Jean Smith Nurse Practitioner 280 Melrose St., Name: Concentra, Providence, RI 02901 2010-07-07
1033209895 Stacy Ramsey Nurse Practitioner 111 Point Street, Providence, RI 02940-1142 2006-10-13
1003821869 Jennifer R Ouellette Nurse Practitioner Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 2006-07-30
1619981529 June M Fischer Nurse Practitioner 595 Eddy Street, Providence, RI 02901 2006-07-28
1154365054 Cynthia J Buckley Nurse Practitioner Providence College Student Health Services, 549 River Ave, Providence, RI 02918-0001 2006-06-15
1902877178 Christine B Butler Nurse Practitioner 845 N Main St, Suite 1, Providence, RI 02904-5700 2006-01-27
1447221668 Jacqueline M Joubert Nurse Practitioner 195 Collyer St Ste 201, Providence, RI 02904-1869 2006-01-27
1578552030 Elaine A Forbes Nurse Practitioner 9 Pleasant St, Medicine Associates, Providence, RI 02906 2005-10-18
1649267345 Elizabeth Canino Nurse Practitioner 225 Chapman St, Providence, RI 02905-4533 2005-09-29
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City PROVIDENCE
Zip Code 02906

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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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