BAYSIDE FAMILY HEALTHCARE, INC. (NPI# 1518185818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518185818 |
| Entity Type | Organization |
| Organization Name | BAYSIDE FAMILY HEALTHCARE, INC. |
| Other Organization Name | BAYSIDE FAMILY HEALTHCARE DENTAL |
| Practice Address |
308 Callahan Rd North Kingstown RI 02852-7739 |
| Practice Telephone | 4012959706 |
| Practice Fax Number | 4012950920 |
| Mailing Telephone | 4012959706 |
| Mailing Fax Number | 4012950920 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CHARLOTTE TAYLOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4012959706 |
| Authorized Official Credential | RN, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
ACF01503 | RI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MEDICAID | RG33703 | 01 |
| RI | DEA LICENSE | BG5600970 | 01 |
| RI | DENTAL LICENSE | DEN01825 | 01 |
| Other Name | Type Code |
|---|---|
| Bayside Family Healthcare Dental | Doing Business As Name - Organization |
| Street Address |
308 CALLAHAN RD |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-7739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535757 | Susan Elizabeth Taft | Family Medicine | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2005-08-22 |
| 1164893574 | Peter Wilkinson | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2015-10-12 |
| 1639562275 | Laura Snizek Ramirez | Physician Assistant | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2015-03-06 |
| 1225457666 | Rayne Kennelly | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2014-04-14 |
| 1043646128 | Jennifer A Ugbah | Clinical Nurse Specialist | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2013-09-19 |
| 1518242460 | Nancy Adler Moye | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2011-10-11 |
| 1235453473 | Melissa B Graswald | Dentist | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2010-03-17 |
| 1508094608 | Teresa Jacob | Dentist | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2009-06-26 |
| 1730313180 | Virginia Pierce | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2009-05-13 |
| 1285796037 | Jo Ann R. Stengel | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609253335 | Comprehensive Community Action, Inc | Clinic/Center | 2756 Post Rd Ste 103, Warwick, RI 02886-3003 | 2015-05-01 |
| 1841587417 | Visiting Nurse Services of Newport and Bristol Counties | Clinic/Center | 1184 East Main Road, Portsmouth, RI 02871 | 2011-07-05 |
| 1669596367 | The Providence Community Health Centers, Inc. | Clinic/Center | 85 A Chad Brown Street, Providence, RI 02908 | 2007-03-19 |
| 1164829024 | East Providence Senior Center | Clinic/Center | 610 Waterman Ave, East Providence, RI 02914-2427 | 2014-11-20 |
| 1609925122 | East Bay Community Action Program | Clinic/Center | 100 Bullocks Point Ave, Riverside, RI 02915-5351 | 2007-01-10 |
| 1801951397 | Northwest Community Health Care | Clinic/Center | 308 Callahan Rd, N. Kingstown, RI 02852-7739 | 2006-12-26 |
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
Please comment or provide details below to improve the information on BAYSIDE FAMILY HEALTHCARE, INC..
| 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.