KRISTIN LEE MALONE (NPI# 1649622184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649622184 |
| Entity Type | Individual |
| Full Name | KRISTIN LEE MALONE |
| Credential | RN, CPNP |
| Practice Address |
355 Prairie Ave Providence RI 02905-1928 |
| Mailing Address |
375 Allens Ave Providence RI 02905-5010 |
| Practice Telephone | 4014440570 |
| Practice Fax Number | 4014440427 |
| Mailing Telephone | 4014440400 |
| Mailing Fax Number | 4014440468 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN55323 | RI | Nursing Service Providers |
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN2299166 | MA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN01438 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558684779 | Kristin Nicole Malone | Occupational Therapist | 14257 W Melbourne Pl, Lockport, IL 60441-6025 | 2010-03-02 |
| 1578079125 | Kristin L Malone | Counselor | 443 Highway 105, Palmer Lake, CO 80133-9003 | 2017-12-19 |
| 1598064370 | Kristin Marie Malone | Massage Therapist | 1422 31st Ave S, Seattle, WA 98144-3910 | 2011-03-20 |
| 1396070785 | Kristin Schmidt Malone | Pharmacist | 1210 Kildaire Farm Rd, Cary, NC 27511-5524 | 2009-10-02 |
| Street Address |
355 PRAIRIE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959867 | The Providence Community Health Centers, Inc | Clinic/Center | 355 Prairie Ave, Providence, RI 02905-5010 | 2005-08-15 |
| 1710521208 | Wesley W. Butt | Family Medicine | 355 Prairie Ave, Providence, RI 02905-1928 | 2019-10-29 |
| 1891342226 | Sahony Natasha Ramos | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2019-08-21 |
| 1386115095 | Ingrid Ayala | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2018-12-07 |
| 1023595055 | Luis David Rodriguez | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2018-07-23 |
| 1982122198 | Nadia Marisa Tourinho | Social Worker | 355 Prairie Ave, Providence, RI 02915 | 2017-09-07 |
| 1679095947 | Jaai M. Deshpande | Family Medicine | 355 Prairie Ave, Providence, RI 02905-1928 | 2017-07-08 |
| 1720521909 | Gioconda Vazquez | Registered Nurse | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-11-21 |
| 1881045789 | Kathryn Oberacker | Nurse Practitioner | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-06-22 |
| 1043669930 | Gabriela Garza | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225205206 | Sarah M Gay | Nurse Practitioner | 1 Hoppin St Ste 304, Providence, RI 02903-4141 | 2008-05-09 |
| 1083811376 | Martha J Mance | Nurse Practitioner | 100 Highland Ave Ste 302, Providence, RI 02906-2753 | 2007-06-29 |
| 1255387189 | Janet Trotta Pardy | Nurse Practitioner | 593 Eddy Street Mph 131, Rhode Island Hospital, Providence, RI 02903 | 2006-05-25 |
| 1487210068 | Stephanie Watt | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-19 |
| 1639689060 | Sarah Pothier | Nurse Practitioner | 593 Eddy St, Providence, RI 02903 | 2017-10-12 |
| 1083154850 | Miranda Mitchell | Nurse Practitioner | 593 Eddy St, Adolescent Medicine, Providence, RI 02903-4923 | 2017-02-27 |
| 1588112858 | Christina Martins | Nurse Practitioner | 593 Eddy St, Claverick 2, Providence, RI 02903-4923 | 2016-09-15 |
| 1063882538 | Tina M Taylor | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2015-09-28 |
| 1619350030 | Michaela Procaccini | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2015-07-02 |
| 1902292899 | University Pediatrics Dba Children's Medical Group | Nurse Practitioner | 100 Highland Ave, Suite 201, Providence, RI 02906-2740 | 2015-04-08 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on KRISTIN LEE MALONE.
| 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.