MS. SALLY MILLER DAVIDSON (NPI# 1780732479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780732479 |
| Entity Type | Individual |
| Full Name | MS. SALLY MILLER DAVIDSON |
| Credential | N.P. |
| Practice Address |
250 Wampanoag Trail Suite 305 Riverside RI 02915 |
| Practice Telephone | 4012704541 |
| Practice Fax Number | 4012704081 |
| Mailing Telephone | 4012704541 |
| Mailing Fax Number | 4012704081 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN01050 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962215 | Sally Davidson | Technician | 1705 Nw 3rd St, Battle Ground, WA 98604-4352 | 2019-09-30 |
| Street Address |
250 WAMPANOAG TRAIL SUITE 305 |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629521166 | Chelsea Sickel | Chiropractor | 250 Wampanoag Trail, Suite 306, Riverside, RI 02915-5206 | 2016-08-02 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093086 | Vanessa Sevilla | Nurse Practitioner | 4590 Nicole Way, Riverside, CA 92501-4301 | 2018-05-14 |
| 1023652666 | Lauren Scarponi | Nurse Practitioner | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2019-11-06 |
| 1588207641 | Gabriel James Kane | Nurse Practitioner | 6200 Van Buren Blvd Ste 100, Riverside, CA 92503-2098 | 2019-10-22 |
| 1669426821 | Patricia A Cioe | Nurse Practitioner | 375 Wampanoag Trl, Suite 301, Riverside, RI 02915-2232 | 2006-05-20 |
| 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 |
| 1639688450 | Olayide R Williams | Nurse Practitioner | 333 Budlong Rd, Cranston, RI 02920 | 2017-09-25 |
| 1851848154 | Chelsea Mcgovern | Nurse Practitioner | 712 Broad St, Providence, RI 02907-1465 | 2016-09-02 |
| 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.