JOANNE CUSTODIO (NPI# 1447716527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447716527 |
| Entity Type | Individual |
| Full Name | JOANNE CUSTODIO |
| Credential | CRNA |
| Practice Address |
825 Chalkstone Ave Providence RI 02908-4728 |
| Mailing Address |
690 Canton St Ste 325 Westwood MA 02090-2324 |
| Practice Telephone | 4014562000 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | APRN02006 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN2305195 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | RN50949 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
825 CHALKSTONE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459263 | Ritesh Rathore | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-07-07 |
| 1821698903 | Afsana Jahan | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-28 |
| 1861090508 | Anthony Joseph Paoletta | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-10-14 |
| 1255941720 | Georgio Medawar | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1265042733 | Jessica Khoury | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-08-08 |
| 1215547617 | Amy Remillard | Social Worker | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-31 |
| 1225647738 | Abdallah Mohamed | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-30 |
| 1467061309 | Catherine Ekladios | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1982213948 | Jamal Al Ali | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| 1811506793 | Sadollah Ghasempour Soleymani | Internal Medicine | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116523 | Sleepy Smiles LLC | Nurse Anesthetist, Certified Registered | 530 W 465 N Ste 703, Providence, UT 84332-8006 | 2020-08-24 |
| 1033359005 | Michaela J Hubbard | Nurse Anesthetist, Certified Registered | 33 Staniford St Fl 2, Providence, RI 02905-3105 | 2009-03-03 |
| 1720224140 | Alina Benoit | Nurse Anesthetist, Certified Registered | 185 Elmgrove Ave, Providence, RI 02906-4240 | 2009-01-07 |
| 1316563117 | Kate Bishop | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-18 |
| 1821613639 | Laurie Jean Isabella | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-08 |
| 1083246102 | Erin Kathleen Casimiro | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-02-06 |
| 1871125039 | Stephanie A Wilson | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-02-06 |
| 1043842313 | Brittany Williams | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2020-02-05 |
| 1265931265 | Vanessa Lauren Marzilli | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2018-02-05 |
| 1346748977 | Devin Holden Sadlers | Nurse Anesthetist, Certified Registered | 593 Eddy St, Providence, RI 02903-4923 | 2018-01-29 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
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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.