MRS. MIKAELA ANDREA LAVALLEE (NPI# 1770970790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770970790 |
| Entity Type | Individual |
| Full Name | MRS. MIKAELA ANDREA LAVALLEE |
| Practice Address |
1681 Cranston St Cranston RI 02920-5000 |
| Mailing Address |
219 Quaker Hwy Uxbridge MA 01569-1629 |
| Practice Telephone | 4019468446 |
| Mailing Telephone | 5088870660 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2272300 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1681 CRANSTON ST |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075981 | Frank P Maggiacomo | Internal Medicine | 1681 Cranston St, Suite D, Cranston, RI 02920-5000 | 2005-07-01 |
| 1629493135 | Prospect Chartercare Physicians, LLC | Surgery | 1681 Cranston St, Cranston, RI 02920-5000 | 2014-02-20 |
| 1609005958 | Gregory G Allen Jr, D.o. Inc | Internal Medicine | 1681 Cranston St, Suite D, Cranston, RI 02920-5000 | 2009-07-08 |
| 1124217674 | Frank P. Maggiacomo, D.o. Inc | Internal Medicine | 1681 Cranston St, Suite D, Cranston, RI 02920-5000 | 2007-10-22 |
| 1407059538 | Anna Faucher Fulton | Registered Nurse | 1681 Cranston St, Cranston, RI 02920-5000 | 2007-06-06 |
| 1316071855 | Alpha Physical Therapy, Inc. | Physical Therapist | 1681 Cranston St, Cranston, RI 02920 | 2007-03-15 |
| 1962575829 | Suzanne Theresa Pacheco | Specialist/Technologist | 1681 Cranston St, Suite A, Cranston, RI 02920-5000 | 2006-11-16 |
| 1952333536 | Susan M Soscia | Physical Therapist | 1681 Cranston St, Suite A, Cranston, RI 02920 | 2006-07-06 |
| 1043217250 | Gregory G Allen | Internal Medicine | 1681 Cranston St, Suite D, Cranston, RI 02920-5000 | 2005-07-01 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688450 | Olayide R Williams | Nurse Practitioner | 333 Budlong Rd, Cranston, RI 02920 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558244 | Constance Marie Ducharme | Nurse Practitioner | 966 Mineral Spring Ave, North Providence, RI 02904-4933 | 2020-01-28 |
| 1265080832 | Michael Ellis Stern | Nurse Practitioner | 46 Barnes St, Providence, RI 02906-1502 | 2019-08-27 |
| 1053896993 | Macrae Medical Associates | Nurse Practitioner | 333 Valley Rd Ste 4, Middletown, RI 02842-7230 | 2018-09-26 |
| 1578539151 | Cathleen Dee Jaderquist-bassett | Nurse Practitioner | 142a Danielson Pike, Foster, RI 02825-1485 | 2006-02-24 |
| 1528609690 | Olanrewaju Hakeem Baruwa | Nurse Practitioner | 198 Waterman Ave, East Providence, RI 02914-3523 | 2019-09-30 |
| 1184182263 | Stephanne Proske | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4799 | 2019-03-07 |
| 1265911556 | Elana Schwam | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-08-08 |
| 1962981357 | Erin Colleen Murphy Bernardo | Nurse Practitioner | 146 W River St, Providence, RI 02904-2609 | 2018-08-07 |
| 1851848154 | Chelsea Mcgovern | Nurse Practitioner | 712 Broad St, Providence, RI 02907-1465 | 2016-09-02 |
| 1215304837 | Jessica A Duncan | Nurse Practitioner | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2015-08-31 |
| Find all providers with the same taxonomy | ||||
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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.