KYLE FISKE


Address: 66 Burnett St, Providence, RI 02907-2527
Phone: 4017850050

KYLE FISKE (NPI# 1598389777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598389777
Entity Type Individual
Full Name KYLE FISKE
Credential LCDP
Practice Address 66 Burnett St
Providence
RI 02907-2527
Practice Telephone 4017850050
Practice Fax Number 4019410089
Mailing Telephone 4017850050
Mailing Fax Number 4019410089
Enumeration Date 2020-06-03
Last Update Date 2020-06-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDP00733 RI Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
RI Behavioral Health & Social Service Providers

Other Providers KYLE FISKE

NPI Name Taxonomy Address Enumeration
1467008672 Kyle Ray Fiske Physical Therapy Assistant 2448 S 102nd St, Milwaukee, WI 53227-2466 2019-08-13

Office Location

Street Address 66 BURNETT ST
City PROVIDENCE
State RI
Zip Code 02907-2527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477608594 Robert Nmn Johnson Social Worker 66 Burnett St, Providence, RI 02907-2527 2007-01-25
1447743372 Lauren Elizabeth Sharpe Counselor 66 Burnett St, Providence, RI 02907-2527 2018-06-14
1558877951 Raising Hope, Inc Home Health 66 Burnett St, Providence, RI 02907-2527 2017-12-20
1265971055 Marleen Simoneau Registered Nurse 66 Burnett St, Providence, RI 02907-2527 2017-02-14
1790223659 Joanne Burnham Licensed Practical Nurse 66 Burnett St, Providence, RI 02907 2017-02-10
1003268517 Alisha Choquette Counselor 66 Burnett St, Providence, RI 02907-2527 2016-07-08
1962857995 Guy Salesman Counselor 66 Burnett St, Providence, RI 02907-2527 2016-04-27
1477951176 Map Behavioral Health Services, Inc Substance Abuse Rehabilitation Facility 66 Burnett St, Providence, RI 02907-2527 2014-12-11
1659718252 Martina Lita Romero Counselor 66 Burnett St, Providence, RI 02907-2527 2013-05-23
1891131496 Darrell Demetrius Williams Counselor 66 Burnett St, Providence, RI 02907-2527 2013-05-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518522861 Catherine M Katzberg Massage Therapist Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 2019-05-02
1104317007 Victa LLC Internal Medicine 110 Elmwood Ave # A, Providence, RI 02907 2018-05-25
1639566987 Southside Elementary Charter School Local Education Agency (LEA) 126 Somerset Street, Providence, RI 02907 2015-04-23
1063846558 Achievement First Providence Mayoral Academy Charter School Local Education Agency (LEA) 370 Hartford Aveneue, Providence, RI 02907 2013-09-03
1912297425 Reynaldo P Baduya Sr.,dmd Clinic/Center 252 Adelaide Avenue, Providence, RI 02907 2011-04-18
1821218587 Map Behavioral Health Serv. Inc. Community/Behavioral Health 66 Burnett Street, Providence, RI 02907 2007-04-26
1548336944 Angelica Redleaf Chiropractor 1196 Elmwood Avenue, Providence, RI 02907 2006-11-28
1174619878 Emilio Rodriguez-peris Internal Medicine 655 Broad Street, Suite 201, Providence, RI 02907 2006-10-04
1841381555 Maged Taman Internal Medicine 21 Peace Street, Providence, RI 02907 2006-09-27
1003924226 Gladys V Rezendes Psychologist 118 Comstock Avenue, Providence, RI 02907 2006-08-28
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477100808 Raisa Emilia Garcia-diaz Counselor 66 Pavilion Avenue, Providence, RI 02905 2019-08-21
1952873317 Better Care Transport LLC Counselor 448 Public St, Providence, RI 02907-1223 2018-12-26
1407234172 David Lee Russell Jr. Counselor 60 Comstock Ave, Providence, RI 02907-1206 2015-05-13
1558755082 Souad Cheteyan Counselor 315 Mount Pleasant Ave, Providence, RI 02908-3836 2015-03-23
1588081533 Nicole Ann Hutto Counselor 20 Vandieman Ave, Providence, RI 02909-5560 2014-03-27
1396050597 Daniel D Strother Counselor 66 Pavilion Ave., Providence, RI 02905 2010-08-11
1902137748 Lux Maria Taylor Counselor 662 Hartford Ave, Providence, RI 02909-5917 2010-01-19
1780805283 Marcel A Trisvan Counselor Codac Providence, 349 Huntington Ave, Providence, RI 02909 2007-05-01
1316063829 Digna Marrero Counselor 16 Borinquen St, 662 Hartford Ave., Providence, RI 02905-3202 2007-03-22
1467554634 George Edward Benedict Counselor Providence Vamc, 830 Chalkstone Avenue, Providence, RI 02908-4799 2006-09-01
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 02907

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Dataset Information

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.

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