KAYLA ROSE-ELAINE VICINO (NPI# 1487191367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487191367 |
| Entity Type | Individual |
| Full Name | KAYLA ROSE-ELAINE VICINO |
| Credential | PNP |
| Practice Address |
126 Prospect St Ste 202 Pawtucket RI 02860-4429 |
| Mailing Address |
126 Prospect St Suite 202 Pawtucket RI 02860 |
| Practice Telephone | 4017289208 |
| Mailing Telephone | 4017289208 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN56441 | RI | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN2306249 | MA | Nursing Service Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2306249 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN01733 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
126 PROSPECT ST STE 202 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376700039 | Suryadutt Venkat | Family Medicine | 126 Prospect St Ste 202, Pawtucket, RI 02860 | 2008-05-20 |
| 1659882504 | Encompass Pediatrics, LLC. | Family Medicine | 126 Prospect St Ste 202, Pawtucket, RI 02860 | 2017-10-18 |
| 1780133520 | Caitlyn White | Nurse Practitioner | 126 Prospect St Ste 202, Pawtucket, RI 02860-4429 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942856000 | Vanessa Correia | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2019-08-14 |
| 1952844862 | Stephanie Carper | Nurse Practitioner | 59 Prospect St, Pawtucket, RI 02860-4482 | 2016-11-24 |
| 1821465386 | Ann Pearce Bisland | Nurse Practitioner | 1145 Main St, Pawtucket, RI 02860-4807 | 2015-08-31 |
| 1093110967 | Emily Collier | Nurse Practitioner | 42 Park Pl, Pawtucket, RI 02860-4010 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820077 | Karen Wood | Nurse Practitioner | 1272 W Main Rd Bldg 3, Middletown, RI 02842-6335 | 2020-10-29 |
| 1831718741 | Elizabeth Sheffield | Nurse Practitioner | 20 Gaspee Rd, Narragansett, RI 02882-5223 | 2020-04-10 |
| 1801038187 | Linda Jane Delvecchio-gilbert | Nurse Practitioner | 334 Budlong Rd, Cranston, RI 02920-6341 | 2009-04-01 |
| 1225205206 | Sarah M Gay | Nurse Practitioner | 1 Hoppin St Ste 304, Providence, RI 02903-4141 | 2008-05-09 |
| 1083811376 | Martha J Mance | Nurse Practitioner | 100 Highland Ave Ste 302, Providence, RI 02906-2753 | 2007-06-29 |
| 1972696003 | Melissa Lapine Curran | Nurse Practitioner | 234 Maple Avenue, Barrington, RI 02806 | 2006-10-02 |
| 1962442376 | Sharon Q Capuano | Nurse Practitioner | 1150 Douglas Pike, Smithfield, RI 02917 | 2006-06-07 |
| 1255387189 | Janet Trotta Pardy | Nurse Practitioner | 593 Eddy Street Mph 131, Rhode Island Hospital, Providence, RI 02903 | 2006-05-25 |
| 1487210068 | Stephanie Watt | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-19 |
| 1316445026 | Anna Baumann | Nurse Practitioner | 6 Blackstone Valley Pl Ste 306b, Lincoln, RI 02865-1112 | 2018-01-28 |
| Find all providers with the same taxonomy | ||||
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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.