MARY LEONA LUSSIER (NPI# 1437224136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437224136 |
| Entity Type | Individual |
| Full Name | MARY LEONA LUSSIER |
| Credential | MD |
| Practice Address |
250 Wampanoag Trl Ste 204 Riverside RI 02915-2218 |
| Practice Telephone | 4014382400 |
| Practice Fax Number | 4014382422 |
| Mailing Telephone | 4014382400 |
| Mailing Fax Number | 4014382422 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD08052 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | NEIGHBORHOOD HEALTH PLAN | 2635 | 01 |
| RI | BLUE CROSS BLUE SHIELD | 28808 | 01 |
| DEPT OF LABOR WORKERS COM | 103941700 | 01 | |
| RI | MEDICARE PTAN | 139002880 | 01 |
| CIGNA | 8910896 | 01 | |
| RI | 9002880 | 05 | |
| MA | HARVARD PILGRIM HEALTH CA | 111055 | 01 |
| UNITED HEALTH CARE | 0500318 | 01 | |
| HEALTHCARE VALUE MANAGEME | 050508380 | 01 | |
| RI | BLUE CHIP | 406525 | 01 |
| Street Address |
250 WAMPANOAG TRL STE 204 |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975802 | Lisa Marie Frappier | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 202, Riverside, RI 02915 | 2005-07-12 |
| 1669038345 | Allen Jeremiah Fish | Massage Therapist | 250 Wampanoag Trl, Riverside, RI 02915-2218 | 2019-05-17 |
| 1902130594 | Lilia Romero-bosch, LLC | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 303, Riverside, RI 02915-2218 | 2009-09-29 |
| 1598910457 | Urologic Specialists of New England, LLC | Urology | 250 Wampanoag Trl, Suite 203, Riverside, RI 02915-2218 | 2008-11-19 |
| 1386805000 | Karren Morrone Dac Ms Pt LLC | Physical Therapist | 250 Wampanoag Trl, Suite 301, Riverside, RI 02915-2218 | 2008-06-25 |
| 1225298953 | Karren Morrone Dac Ms Pt LLC | Acupuncturist | 250 Wampanoag Trl, Suite 301, Riverside, RI 02915-2218 | 2008-06-16 |
| 1801975545 | David M Greenberg | Podiatrist | 250 Wampanoag Trl, Suite 205 Rhode Island Foot Care Inc, Riverside, RI 02915-2218 | 2006-11-03 |
| 1285643122 | John J Darby | Dentist | 250 Wampanoag Trl, Suite 103, Riverside, RI 02915-2218 | 2006-08-07 |
| 1124035381 | Teresa Alice Kelly-berry | Specialist | 250 Wampanoag Trl, Suite301, Riverside, RI 02915-2218 | 2006-08-01 |
| 1740295328 | Gerard G. Gagne, Jr. Md General Adult Psychiatry | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 303, Riverside, RI 02915-2218 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295114197 | Bhavesh Vasant Trikamji | Psychiatry & Neurology | Ucr Health, 3390 University Avenue, Ste 100, Riverside, CA 92501 | 2015-05-26 |
| 1891103735 | Dhrupad Joshi | Psychiatry & Neurology | 6833 Indiana Ave Ste 101, Riverside, CA 92506-4223 | 2014-07-23 |
| 1154647014 | Ricardo Olivo | Psychiatry & Neurology | 7117 Brockton Ave Ofc Cp 21005, Riverside, CA 92506-2658 | 2010-04-15 |
| 1851509244 | Carol Vanpetten | Psychiatry & Neurology | Dept Neurology Kaiser Permanente, 10800 Magnolia Ave, Riverside, CA 92505 | 2007-05-18 |
| 1306843677 | Lisa Herring Sovory | Psychiatry & Neurology | 6086 Brockton Ave, Suite 1, Riverside, CA 92506-2227 | 2005-07-01 |
| 1992322291 | We-care Neurology Inc | Psychiatry & Neurology | 6833 Indiana Ave Ste 101, Riverside, CA 92506-4223 | 2020-07-02 |
| 1801386149 | Gina Habeeb | Psychiatry & Neurology | 7172 Magnolia Ave, Riverside, CA 92504-3804 | 2018-05-11 |
| 1245761451 | Cep America - Neurology PC | Psychiatry & Neurology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2017-03-21 |
| 1679921316 | Mark M Girgis | Psychiatry & Neurology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2016-06-02 |
| 1669882130 | Sylvia Soo | Psychiatry & Neurology | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2014-05-05 |
| Find all providers in RIVERSIDE | ||||
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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.