INNOVATIVE THERAPEUTICS OF RHODE ISLAND LLC (NPI# 1861944969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861944969 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE THERAPEUTICS OF RHODE ISLAND LLC |
| Practice Address |
316 Willett Ave Riverside RI 02915-2511 |
| Practice Telephone | 4012702468 |
| Practice Fax Number | 7819649446 |
| Mailing Telephone | 4012702468 |
| Mailing Fax Number | 7819649446 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | MS. WENDY CARLSON (OWNER) |
| Authorized Official Telephone | 7819649446 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN01440 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
316 WILLETT AVE |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2511 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083249866 | Mega Maninder Deol | Nurse Practitioner | 19734 Shadowbrook Way, Riverside, CA 92508-6809 | 2020-03-11 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1356819908 | Kellie Ferrie | Nurse Practitioner | 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 | 2018-11-12 |
| 1265807762 | Lisa Debrier | Nurse Practitioner | 2933 University Avenue, Riverside, CA 92507-4243 | 2015-12-09 |
| 1881978682 | Sukh Dev Singh Khalsa | Nurse Practitioner | 5887 Brockton Ave Ste A, Riverside, CA 92506-1858 | 2011-09-28 |
| 1396345245 | Oluwatoyin Oladimeji | Nurse Practitioner | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2020-10-29 |
| 1982210977 | Rachel Weitz | Nurse Practitioner | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2020-09-16 |
| 1265052047 | Quiana Latoya Cooper | Nurse Practitioner | 6529 Riverside Ave Ste 133, Riverside, CA 92506-3123 | 2020-04-21 |
| 1184270381 | Jessica Nicole Rodello | Nurse Practitioner | 5887 Brockton Ave, Riverside, CA 92506-1853 | 2019-08-13 |
| 1144783184 | Sarah Jane Wenger | Nurse Practitioner | 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 | 2019-04-08 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on INNOVATIVE THERAPEUTICS OF RHODE ISLAND LLC.
| 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.