KILEY ELIZABETH FAIR (NPI# 1841832235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841832235 |
Entity Type | Individual |
Full Name | KILEY ELIZABETH FAIR |
Credential | AGACNP |
Practice Address |
455 Toll Gate Rd Warwick RI 02886-2759 |
Mailing Address |
31 Factory Pond Cir Greenville RI 02828-2922 |
Practice Telephone | 4017377000 |
Mailing Telephone | 4018295060 |
Enumeration Date | 2019-10-17 |
Last Update Date | 2019-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN02024 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN02024 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
455 TOLL GATE RD |
City | WARWICK |
State | RI |
Zip Code | 02886-2759 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609872878 | John Robert Audett | Internal Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-06-22 |
1003422775 | Sabrina O'donnell | Nurse Practitioner | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-09-18 |
1477162733 | Advait Kodoor Kothare | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-07-23 |
1336758697 | Ratib Talal Mahfouz | Student in an Organized Health Care Education/Training Program | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-07-23 |
1669081899 | Ahmad Toumar | Student in an Organized Health Care Education/Training Program | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-07-23 |
1316556681 | Osama Emad Batayneh | Internal Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-07-23 |
1922621614 | Kent County Memorial Hospital | Clinical Medical Laboratory | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-05-28 |
1083237408 | Jeannette Wright | Student in an Organized Health Care Education/Training Program | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-05-20 |
1730700204 | Joshua Silva | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-05-06 |
1548881998 | Elizabeth Avery Lee | Emergency Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2020-04-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
Find all providers in zip 02886 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215482831 | Cynthia Ruggiero | Nurse Practitioner | 222 Jefferson Blvd Ste 200, Warwick, RI 02888-3855 | 2016-08-24 |
1194774943 | Genesis Elder Care Physician Services LLC | Nurse Practitioner | 660 Commonwealth Avenue, Warwick, RI 02886-2707 | 2006-05-09 |
1295369452 | Mary Ann Caouette | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-02-26 |
1679104236 | Jamie Lee Delacruz | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-01-31 |
1477035749 | Kellsey Cormier | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-09-04 |
1861930554 | Linda Harris | Nurse Practitioner | 222 Jefferson Blvd Ste 200, Warwick, RI 02888-3855 | 2017-02-02 |
1477923282 | Jennifer Rose Deery | Nurse Practitioner | 660 Commonwealth Ave, Warwick, RI 02886-2707 | 2015-10-06 |
1952468969 | Katherine Young Howard | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285261339 | Saina Cadet | Nurse Practitioner | 3 Loring Ln, North Providence, RI 02904-3011 | 2020-03-26 |
1588196133 | Elisabeth Marie Butler | Nurse Practitioner | 114 Swift St, Providence, RI 02904-1437 | 2017-04-03 |
1467712661 | Joan Theresa Walton | Nurse Practitioner | 34 Wilton Ave, Pawtucket, RI 02861-2916 | 2012-05-22 |
1881902096 | Diane Marie Costa | Nurse Practitioner | 42 Basswood Dr, Bristol, RI 02809-4912 | 2010-09-22 |
1053590224 | Christine Marie Hall | Nurse Practitioner | 155 Wickford Point Rd, North Kingstown, RI 02852-4049 | 2007-10-24 |
1649838400 | Colin Brian Burns | Nurse Practitioner | 25 Wells St, Westerly, RI 02891-2922 | 2019-06-05 |
1578924460 | Ana Paula Silva | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2016-03-19 |
1366842346 | Yetunde Oluwatoyin Shittu | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2014-08-27 |
1619291176 | Kate E Chadwick | Nurse Practitioner | 333 Green End Ave, Middletown, RI 02842-5620 | 2010-03-26 |
1316178676 | Annette L Kelleher | Nurse Practitioner | 50 Maude St, Providence, RI 02908-4325 | 2009-08-05 |
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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.