JOHN R. DUFRESNE (NPI# 1699740720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699740720 |
| Entity Type | Individual |
| Full Name | JOHN R. DUFRESNE |
| Credential | N.P. |
| Practice Address |
1150 Reservoir Ave Suite 100 Cranston RI 02920-6068 |
| Practice Telephone | 4019462400 |
| Practice Fax Number | 4019460107 |
| Mailing Telephone | 4019462400 |
| Mailing Fax Number | 4019460107 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NPP37176 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPP37176 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CHIP | 409038 | 01 |
| RI | BLUECROSS BLUESHIELD | 24007-5 | 01 |
| RI | 7057318 | 05 | |
| RAILROAD | P00217750 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750430856 | John Rivard Dufresne | Psychologist | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2007-01-09 |
| 1881705291 | John Michael Dufresne | Physical Therapist | 12 Village Street, Suite 10, North Haven, CT 06473 | 2006-08-31 |
| Street Address |
1150 RESERVOIR AVE SUITE 100 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-6068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183904 | Paul William Roderick | Internal Medicine | 1150 Reservoir Ave, Suite 201, Cranston, RI 02920-6068 | 2005-09-06 |
| 1558807180 | Atlantic Audiology, Inc. | Audiologist-Hearing Aid Fitter | 1150 Reservoir Ave, Suite 305b, Cranston, RI 02920-6068 | 2017-01-06 |
| 1063753671 | Michael Lee Jacobs | Physical Therapist | 1150 Reservoir Ave, Suite 103, Cranston, RI 02920-6068 | 2013-03-06 |
| 1558676551 | John A Pella M D Ltd | Internal Medicine | 1150 Reservoir Ave, Suite 305, Cranston, RI 02920-6068 | 2010-08-13 |
| 1821312646 | Garden City Rehabilitation Center, LLC | Clinic/Center | 1150 Reservoir Ave, Suite 103, Cranston, RI 02920-6068 | 2010-03-23 |
| 1144559188 | Jessica Medina | Optometrist | 1150 Reservoir Ave, Cranston, RI 02920-6068 | 2009-12-22 |
| 1437312212 | Atlantic Hearing Center Inc | Audiologist | 1150 Reservoir Ave, Ste. 305b, Cranston, RI 02920-6068 | 2008-07-02 |
| 1639341050 | Dawn Barboza | Massage Therapist | 1150 Reservoir Ave, Suite 305b, Cranston, RI 02920-6068 | 2008-03-26 |
| 1851562581 | Carine Leconte Md, Inc | Pediatrics | 1150 Reservoir Ave, Suite 205, Cranston, RI 02920-6068 | 2008-03-20 |
| 1205007226 | Micheline Gauthier | Audiologist | 1150 Reservoir Ave, Suite 305b, Cranston, RI 02920-6068 | 2008-03-18 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044903 | Sarah Correira | Nurse Practitioner | 75 Meadow Lark Dr, Cranston, RI 02921-2811 | 2020-08-22 |
| 1255941795 | Linette Mae Novak | Nurse Practitioner | 1150 Reservoir Ave Ste 100, Cranston, RI 02920-6074 | 2020-08-07 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1912113366 | June A Newman | Nurse Practitioner | 1400 Pontiac Ave, Jhu/pbg, Cranston, RI 02920-4460 | 2007-05-15 |
| 1578582656 | Michelle Blade Mello | Nurse Practitioner | 263 East St, Cranston, RI 02920-2042 | 2006-07-19 |
| 1871147553 | Angela Langley | Nurse Practitioner | 1090 Cranston St, Cranston, RI 02920-7323 | 2019-07-30 |
| 1467925842 | Melissa-jean M Suttmeier | Nurse Practitioner | 2220 Plainfield Pike, Cranston, RI 02921-2031 | 2019-01-08 |
| 1609346741 | Debra Lee Furtado | Nurse Practitioner | 725 Reservoir Ave, Cranston, RI 02910-4448 | 2018-12-02 |
| 1578032751 | Stacey Leblanc | Nurse Practitioner | 333 Budlong Rd, Cranston, RI 02920-6337 | 2018-11-18 |
| 1497250666 | Cassandra Lee Aubin | Nurse Practitioner | 75 Sockanosset Cross Rd Ste 100, Cranston, RI 02920-5558 | 2018-03-28 |
| Find all providers in CRANSTON | ||||
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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.