PATRICIA GEDAROVICH (NPI# 1619420056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619420056 |
| Entity Type | Individual |
| Full Name | PATRICIA GEDAROVICH |
| Credential | PMHNP-BC |
| Practice Address |
75 Sockanosset Cross Rd Suite 301 Cranston RI 02920-5558 |
| Mailing Address |
11 Liberty Rd Medfield MA 02052-3312 |
| Practice Telephone | 4014158868 |
| Mailing Telephone | 7742770208 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN01434 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 SOCKANOSSET CROSS RD SUITE 301 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-5558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861160 | Lynn Ricks | Nurse Practitioner | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2005-09-12 |
| 1811340631 | East Coast Medical, LLC | Clinic/Center | 75 Sockanosset Cross Rd, Suite 208a, Cranston, RI 02920-5558 | 2016-07-16 |
| 1316393499 | Sofia Edlund-wynn | Counselor | 75 Sockanosset Cross Rd, Suite 301, Cranston, RI 02920-5558 | 2016-05-09 |
| 1073971065 | Lindsay Schulz | Social Worker | 75 Sockanosset Cross Rd, Suite 301, Cranston, RI 02920-5558 | 2016-02-04 |
| 1265838536 | Michelle Neuner | Massage Therapist | 75 Sockanosset Cross Rd, Cranston, RI 02920-5558 | 2014-11-13 |
| 1053711259 | Back In Balance, Inc. | Massage Therapist | 75 Sockanosset Cross Rd, Suite 110, Cranston, RI 02920-5558 | 2014-08-26 |
| 1326451311 | Marie Margaret Mccoole | Registered Nurse | 75 Sockanosset Cross Rd, Suite 301, Cranston, RI 02920-5558 | 2014-06-06 |
| 1720347123 | Kimberly Anna Propert | Nurse Practitioner | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2012-05-07 |
| 1750568531 | Veenu Garewal | Internal Medicine | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2008-01-24 |
| 1649472895 | Kathryn O. Coolidge | Internal Medicine | 75 Sockanosset Cross Rd, Suite 100, Cranston, RI 02920-5558 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265985840 | Whitney Ogbo | Nurse Practitioner | 1150 Reservoir Ave Ste 305-a, Cranston, RI 02920-6068 | 2016-07-29 |
| 1700900669 | Barbara A. Feeley | Nurse Practitioner | 30 Brettonwoods Dr, Cranston, RI 02920-4627 | 2007-03-18 |
| 1487271565 | Gillian Leahy Cooperstein | Nurse Practitioner | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2020-07-06 |
| 1326675737 | Mambo Jingla Ndingwan | Nurse Practitioner | 111 Howard Ave, Cranston, RI 02920-3001 | 2020-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540042 | North Road Psychiatry LLC | Nurse Practitioner | 23 North Rd Ste A11, Peace Dale, RI 02879-8108 | 2020-08-31 |
| 1750992319 | Katherine Elizabeth Loffredo | Nurse Practitioner | 74 Seymour St, Warren, RI 02885-4227 | 2020-08-16 |
| 1174149686 | Goldline Health and Wellness LLC | Nurse Practitioner | 750 East Ave Lowr Level, Pawtucket, RI 02860-6245 | 2020-06-20 |
| 1215562566 | Katie Elizabeth Thayer | Nurse Practitioner | 300 Centerville Rd Ste 101, Warwick, RI 02886-0200 | 2020-03-06 |
| 1477197820 | Jaron Keough | Nurse Practitioner | 232 Pawtucket Ave Apt 1, Pawtucket, RI 02860-5169 | 2019-10-29 |
| 1538622394 | Partners In Psychiatry LLC | Nurse Practitioner | 1525 Old Louisquisset Pike Ste B203, Lincoln, RI 02865-4522 | 2019-04-09 |
| 1356819908 | Kellie Ferrie | Nurse Practitioner | 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 | 2018-11-12 |
| 1306326202 | Samuel David Kaufman | Nurse Practitioner | 34 Rice Ave, E Providence, RI 02914-3147 | 2018-08-20 |
| 1205350980 | Tabitha Ann Imondi | Nurse Practitioner | 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503 | 2017-08-03 |
| 1366983314 | Alyssa Pullan | Nurse Practitioner | 78 Courtney Ave, Pawtucket, RI 02861-3935 | 2017-03-10 |
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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.