ALLEN JEREMIAH FISH (NPI# 1669038345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669038345 |
Entity Type | Individual |
Full Name | ALLEN JEREMIAH FISH |
Practice Address |
250 Wampanoag Trl Riverside RI 02915-2218 |
Mailing Address |
38 Ash St Manville RI 02838-1520 |
Practice Telephone | 8604558411 |
Mailing Telephone | 8604558411 |
Enumeration Date | 2019-05-17 |
Last Update Date | 2019-05-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT02300 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
250 WAMPANOAG TRL |
City | RIVERSIDE |
State | RI |
Zip Code | 02915-2218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619975802 | Lisa Marie Frappier | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 202, Riverside, RI 02915 | 2005-07-12 |
1902130594 | Lilia Romero-bosch, LLC | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 303, Riverside, RI 02915-2218 | 2009-09-29 |
1598910457 | Urologic Specialists of New England, LLC | Urology | 250 Wampanoag Trl, Suite 203, Riverside, RI 02915-2218 | 2008-11-19 |
1386805000 | Karren Morrone Dac Ms Pt LLC | Physical Therapist | 250 Wampanoag Trl, Suite 301, Riverside, RI 02915-2218 | 2008-06-25 |
1225298953 | Karren Morrone Dac Ms Pt LLC | Acupuncturist | 250 Wampanoag Trl, Suite 301, Riverside, RI 02915-2218 | 2008-06-16 |
1437224136 | Mary Leona Lussier | Psychiatry & Neurology | 250 Wampanoag Trl, Ste 204, Riverside, RI 02915-2218 | 2006-11-21 |
1801975545 | David M Greenberg | Podiatrist | 250 Wampanoag Trl, Suite 205 Rhode Island Foot Care Inc, Riverside, RI 02915-2218 | 2006-11-03 |
1285643122 | John J Darby | Dentist | 250 Wampanoag Trl, Suite 103, Riverside, RI 02915-2218 | 2006-08-07 |
1124035381 | Teresa Alice Kelly-berry | Specialist | 250 Wampanoag Trl, Suite301, Riverside, RI 02915-2218 | 2006-08-01 |
1740295328 | Gerard G. Gagne, Jr. Md General Adult Psychiatry | Psychiatry & Neurology | 250 Wampanoag Trl, Suite 303, Riverside, RI 02915-2218 | 2006-07-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
Find all providers in zip 02915 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851907653 | Jennifer Marie Nelson | Massage Therapist | 4295 10th St, Riverside, CA 92501-3111 | 2020-09-17 |
1093329104 | Ruben David Willis | Massage Therapist | 3264 Rainforest Dr, Riverside, CA 92503-0824 | 2020-09-04 |
1801400577 | Danisha Vassar | Massage Therapist | 616 Dodge Ct Apt A, Riverside, OH 45431-4893 | 2020-09-01 |
1356905939 | Helen Thomas | Massage Therapist | 6250 Brockton Ave, Riverside, CA 92506-2235 | 2019-04-29 |
1083176895 | Marissa Noel Rodriguez | Massage Therapist | 3860 Tyler St, Riverside, CA 92503-3431 | 2019-04-01 |
1184191009 | Samson Ayele Negash | Massage Therapist | 12579 Bougainvillea Way, Riverside, CA 92503-7023 | 2018-10-29 |
1174057509 | Tommy Washington | Massage Therapist | 2891 Canyon Crest Dr, Apt# 13, Riverside, CA 92507-7906 | 2017-04-12 |
1558727537 | Lupe Rodriguez | Massage Therapist | 4356 Via San Luis, Riverside, CA 92504-2453 | 2016-01-06 |
1568707313 | Know Knots Massage | Massage Therapist | 8052 Limonite Ave, Ste 104, Riverside, CA 92509-6124 | 2012-12-05 |
1952664997 | Randall Jaeger Worthington | Massage Therapist | 6422 Magnolia Ave, Riverside, CA 92506-2408 | 2012-06-22 |
Find all providers in RIVERSIDE |
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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.