MS. HOLLY FERNANDES (NPI# 1649272162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649272162 |
| Entity Type | Individual |
| Full Name | MS. HOLLY FERNANDES |
| Credential | RNP |
| Practice Address |
886 Mineral Spring Ave Pawtucket RI 02860-3322 |
| Practice Telephone | 4014753063 |
| Practice Fax Number | 4014750593 |
| Mailing Telephone | 4014753063 |
| Mailing Fax Number | 4014750593 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPP37132 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9003461 | 05 |
| Street Address |
886 MINERAL SPRING AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898909 | Fairlawn Primary Care, Inc | Internal Medicine | 886 Mineral Spring Ave, Pawtucket, RI 02860-3322 | 2006-07-07 |
| 1548245962 | Fadi Mansourati | Internal Medicine | 886 Mineral Spring Ave, Pawtucket, RI 02860-3322 | 2005-12-08 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492208 | Kimberly A Ainsworth | Nurse Practitioner | 111 Brewster St, Pawtucket, RI 02860-4400 | 2020-03-14 |
| 1164052478 | Mellissa Gosset | Nurse Practitioner | 333 School St # 112, Pawtucket, RI 02860-5334 | 2020-01-26 |
| 1679129738 | Alex Jacob Weiner | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2019-08-14 |
| 1114498995 | Nicole Snapper | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-12-05 |
| 1023595725 | Daijsia Melena Bubb | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860 | 2018-07-25 |
| 1760969869 | Alice Omerhi | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-07-23 |
| 1972032530 | Abigail Patricia Wetzel | Nurse Practitioner | 21 Division St, Pawtucket, RI 02860 | 2017-06-07 |
| 1275064933 | Anne Barylick | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2017-03-24 |
| 1336509413 | Yvette Moreno | Nurse Practitioner | 727 East Ave, Pawtucket, RI 02860-6185 | 2016-03-02 |
| 1659770642 | Charlie Imonah | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2014-08-15 |
| Find all providers in PAWTUCKET | ||||
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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.