MRS. SUSAN M BORDONARO (NPI# 1366547358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366547358 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN M BORDONARO |
| Credential | DCNP |
| Practice Address |
102 Valley Rd Middletown RI 02842-5237 |
| Practice Telephone | 4012391800 |
| Practice Fax Number | 4012391801 |
| Mailing Telephone | 4012391800 |
| Mailing Fax Number | 4012391801 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NPP34886 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
CAPRN00998 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1525 Wampanoag Trl Ste 203, Riverside, RI 029151038 | 4012391800 | 4012391801 |
| 1524 Atwood Ave Ste 321, Johnston, RI 029193228 | 4012391800 | 4012391801 |
| 67 William S Canning Blvd, Tiverton, RI 028783003 | 4012391800 | 4012391801 |
| 851 Main St, Warren, RI 028854402 | 4012391800 | 4012391801 |
| 618 Toll Gate Rd, Warwick, RI 028862717 | 4012391800 | 4012391801 |
| Street Address |
102 VALLEY RD |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744483 | Pamela Gadbaw | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-05-08 |
| 1083173421 | Amanda N Fredette | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-03-15 |
| 1902363492 | Jennifer Ann Fisher | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-02-21 |
| 1649746421 | April Bell Brosnan | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2018-10-18 |
| 1801302765 | Alyssa Coogan | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842 | 2017-12-14 |
| 1699204784 | Victoria Lee Comeau | Dermatology | 102 Valley Rd, Middletown, RI 02842-5237 | 2017-06-12 |
| 1164877486 | Rebbecca Shea | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2016-04-25 |
| 1356753974 | Sarah Elizabeth Belden | Dermatology | 102 Valley Rd, Middletown, RI 02842 | 2014-06-02 |
| 1457783904 | Meghan Grafton King | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2013-08-07 |
| 1720328107 | Matthew Clifford Willett | Dermatology | 102 Valley Rd, Middletown, RI 02842 | 2013-02-22 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822000 | Janice Blake | Nurse Practitioner | 400 Saybrook Rd Ste 214, Middletown, CT 06457-4773 | 2019-07-05 |
| 1740637388 | Glenda Gagante | Nurse Practitioner | 103 Beacon St, Middletown, RI 02842-4805 | 2016-05-23 |
| 1538584255 | Olympia Rian Perna | Nurse Practitioner | 1000 Route 35, Suite 200, Middletown, NJ 07748-2606 | 2014-03-04 |
| 1568682581 | Valli Cohen | Nurse Practitioner | 325 High St, Middletown, CT 06459-3232 | 2007-05-01 |
| 1265550842 | Barbara Dedman | Nurse Practitioner | Davison Health Center 327 High St, Middletown, CT 06459-0001 | 2007-03-26 |
| 1932133881 | Karla Kay Telfer | Nurse Practitioner | 602 N 5th St, Middletown, IN 47356-1008 | 2006-07-10 |
| 1487648812 | Barbara Manco | Nurse Practitioner | Rcwatc, 117 Seward Ave, Suite 12-16, Middletown, NY 10940 | 2005-08-31 |
| 1164428793 | Paula May Rutledge | Nurse Practitioner | 306 E Main St, Middletown, DE 19709-1482 | 2005-06-28 |
| 1336758747 | Kate Elizabeth Garvin | Nurse Practitioner | 1025 W Harrisburg Pike, Middletown, PA 17057-4848 | 2020-07-31 |
| 1417576570 | Margaret Lapointe | Nurse Practitioner | 675 Main St, Middletown, CT 06457-2632 | 2020-04-09 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
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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.