NICOLE ELIZABETH AUTHELET (NPI# 1487174447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487174447 |
| Entity Type | Individual |
| Full Name | NICOLE ELIZABETH AUTHELET |
| Credential | PA |
| Practice Address |
164 Summit Ave Providence RI 02906-2853 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4513 |
| Practice Telephone | 4017932500 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 593 Eddy St, Providence, RI 029034923 | 4014444000 | |
| 94 Fairway Ln, Warwick, RI 028892231 | (401) 450-8135 |
| Street Address |
164 SUMMIT AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2853 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622265 | Jacob H. Sosa | Physician Assistant | 11 Amy St, Providence, RI 02906-3802 | 2020-06-02 |
| 1114541661 | Alison Ruth Dias | Physician Assistant | 164 Summit Ave Fl 3, Providence, RI 02906-2853 | 2020-06-01 |
| 1780210021 | Michael Weller | Physician Assistant | 166 Valley St Apt 6a202, Providence, RI 02909-2467 | 2020-03-18 |
| 1659915221 | Sanju Dhital | Physician Assistant | 15 Tew Pl, Providence, RI 02906-1721 | 2019-11-06 |
| 1467093823 | Alan Miller | Physician Assistant | 79 11th St, Providence, RI 02906-2911 | 2019-10-07 |
| 1134774011 | Linda Ung | Physician Assistant | 198 Wendell St, Providence, RI 02909-2129 | 2019-08-07 |
| 1346703527 | Simran Kaur Kochar | Physician Assistant | 207 Jastram St, Providence, RI 02908-2708 | 2019-04-13 |
| 1457881666 | Katelyn Mary Pires | Physician Assistant | 539 Eddy St., Providence, RI 02903 | 2017-06-20 |
| 1265556872 | Tor Clark | Physician Assistant | Brown University Health Service, Box 1928, Providence, RI 02912 | 2007-03-19 |
| 1275509408 | Sharonda Evette Keith | Physician Assistant | 593 Eddy Street, Apc-6, Lifespan Physician's Group, Dept of Neurosurgery, Providence, RI 02903 | 2006-02-27 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.