EAST PROVIDENCE SENIOR CENTER (NPI# 1558768663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558768663 |
| Entity Type | Organization |
| Organization Name | EAST PROVIDENCE SENIOR CENTER |
| Other Organization Name | DSMT PROGRAM HEALTH NUTRITION DIABETES OFFICE EPSC |
| Practice Address |
610 Waterman Ave East Providence RI 02914-2427 |
| Practice Telephone | 4014357800 |
| Practice Fax Number | 4014357803 |
| Mailing Telephone | 4014357800 |
| Mailing Fax Number | 4014357803 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |
| Authorized Official Name | ROBERT ROCK (DIRECTOR) |
| Authorized Official Telephone | 4014357800 |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY OF EAST PROVIDENCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers | ||
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| DSMT Program Health Nutrition Diabetes Office EPSC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164829024 | East Providence Senior Center | Clinic/Center | 610 Waterman Ave, East Providence, RI 02914-2427 | 2014-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST PROVIDENCE SENIOR CENTER | 610 Waterman Ave, East Providence, RI 02914-2427 |
| Street Address |
610 WATERMAN AVE |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295746998 | Dolores I Norton Braica | Registered Nurse | 610 Waterman Ave, East Providence Senior Center, East Providence, RI 02914 | 2006-08-10 |
| 1083165450 | City of East Providence | Clinic/Center | 610 Waterman Ave, East Providence, RI 02914-2427 | 2016-10-20 |
| 1164829024 | East Providence Senior Center | Clinic/Center | 610 Waterman Ave, East Providence, RI 02914-2427 | 2014-11-20 |
| 1558792663 | Mary Jane Milner | Registered Nurse | 610 Waterman Ave, East Providence, RI 02914-2427 | 2013-11-29 |
| 1245354190 | Susan Langmack | Registered Nurse | 610 Waterman Ave, East Providence, RI 02914-2427 | 2007-03-18 |
| 1932258381 | Margaret M Campion | Registered Nurse | 610 Waterman Ave, Senior Center, East Providence, RI 02914-2427 | 2007-01-08 |
| 1518024629 | Joanne F Costello | Registered Nurse | 610 Waterman Ave, East Providence, RI 02914 | 2007-01-02 |
| 1396824793 | Mary Catherine Proietta | Dietitian, Registered | 610 Waterman Ave, East Providence, RI 02914-2427 | 2006-11-04 |
| 1295816247 | City of East Providence | Public Health or Welfare | 610 Waterman Ave, East Providence, RI 02914-2427 | 2006-10-18 |
| 1295844793 | Ann Marie Chalmers Sabula | Nutritionist | 610 Waterman Ave, East Providence, RI 02914-2427 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063760130 | Virginia L Paine | Nutritionist | 900 Warren Ave Ste 100, East Providence, RI 02914-1430 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790239655 | Debbie Lynn Mathieu | Nutritionist | 773 York Ave, Pawtucket, RI 02861-2812 | 2016-08-09 |
| 1437529690 | Lorraine Tortolanni | Nutritionist | 1 Sugarbush Trl, Coventry, RI 02816-5077 | 2015-09-30 |
| 1417365933 | Rhonda Somyk | Nutritionist | 3 Umbrella Way, Manville, RI 02838-1249 | 2014-07-28 |
| 1528403268 | Nikki Anne Mcpeak | Nutritionist | 3 Mark Glen Ct, Kingston, RI 02881-1611 | 2013-05-08 |
| 1427356286 | Cristina P Santos | Nutritionist | 290 Morris St, Cumberland, RI 02864-6534 | 2011-03-03 |
| 1689980336 | Robert White | Nutritionist | 178 Slater Park Ave, Pawtucket, RI 02861-3214 | 2010-08-19 |
| 1982936373 | Tara C Higgins | Nutritionist | 290 Forge Rd, North Kingstown, RI 02852-1010 | 2010-02-10 |
| 1417287673 | Kristin J Wilkes | Nutritionist | 31 Karee Ct, Wakefield, RI 02879-2350 | 2010-01-11 |
| 1992972921 | Catherine M Jarvie | Nutritionist | 34 Urban Ave, Warwick, RI 02888-3628 | 2008-05-08 |
| 1124431283 | Diabetes Care Solutions, LLC | Nutritionist | 600 Putnam Pike, Suite 6, Greenville, RI 02828-1486 | 2014-06-06 |
| Find all providers with the same taxonomy | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on EAST PROVIDENCE SENIOR CENTER.
| 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.