BRENNA GRACE MAYNARD (NPI# 1942817689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942817689 |
| Entity Type | Individual |
| Full Name | BRENNA GRACE MAYNARD |
| Credential | NP |
| Practice Address |
55 Lower College Rd Kingston RI 02881-1972 |
| Mailing Address |
87 Fatima Dr Bristol RI 02809-4738 |
| Practice Telephone | 4018742262 |
| Practice Fax Number | 4018745491 |
| Mailing Telephone | 4015759974 |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
55 LOWER COLLEGE RD |
| City | KINGSTON |
| State | RI |
| Zip Code | 02881-1972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467007369 | Marie Therese Joan Shaughnessy | Physical Therapist | 25 West Independence Way, Kingston, RI 02881 | 2019-08-07 |
| 1912492778 | Haruki Mukohchi | Specialist/Technologist | 3 Keaney Rd., Kingston, RI 02881 | 2018-06-25 |
| 1720435399 | Lisa G. Mcandrews-morin | Pharmacist | 7 Greenhouse Rd #265d, Pharmacy Outreach Dept. (per Diem Practice Location), Kingston, RI 02881 | 2016-05-24 |
| 1205098050 | University Optometrist Services Inc | Optometrist | 50 Lower College Rd, Kingston, RI 02881 | 2008-07-01 |
| 1528239621 | Veterans Administration Medical Center | Psychiatric Unit | 2 Heathman Road, White Hall, Rm 309, Kingston, RI 02881 | 2008-03-17 |
| 1104021112 | Jasmine Mena | Psychologist | 217 Roosevelt Hall, University of Rhode Island, Kingston, RI 02881 | 2007-06-19 |
| 1417150897 | Katherine Kelly Orr | Pharmacist | University of Rhode Island College of Pharmacy, 44 Lower College Rd., Kingston, RI 02881 | 2007-06-06 |
| 1528192838 | Brett M Feret | Pharmacist | 41 Lower College Road, 144 Fogarty Hall, Kingston, RI 02881 | 2007-03-16 |
| 1619015781 | Constance Pierson Fitzelle | Marriage & Family Therapist | 13 Linden Dr, Kingston, RI 02881 | 2007-02-02 |
| 1508918186 | Ann M Varna Garis | Psychologist | 150 Chafee Building, Kingston, RI 02881 | 2007-01-17 |
| Find all providers in zip 02881 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345858 | Michael Mario Ignagni | Student in an Organized Health Care Education/Training Program | 52 Ocean Hill Dr, Kingston, MA 02364-3010 | 2020-08-07 |
| 1215569686 | Christine Elizabeth Orr | Student in an Organized Health Care Education/Training Program | 88 Stuart St, Richardson Laboratory, Kingston, ON K7L3N6 | 2020-02-04 |
| 1225413156 | Rebekha Lucas | Student in an Organized Health Care Education/Training Program | 12544 Hefner Rd, Kingston, OH 45644-9648 | 2015-07-21 |
| 1003242132 | Paul Jesse Mcdowell | Student in an Organized Health Care Education/Training Program | 13783 Mary Ann Ln, Kingston, OK 73439-9155 | 2013-09-20 |
| 1538766415 | James Vincent Lemieux | Student in an Organized Health Care Education/Training Program | 45 Upper College Rd, Kingston, RI 02881-2003 | 2020-10-05 |
| 1144847419 | Kyle Huang | Student in an Organized Health Care Education/Training Program | 1 Family Practice Dr, Kingston, NY 12401-6449 | 2020-07-02 |
| 1679199285 | Christina Mary Lauzier | Student in an Organized Health Care Education/Training Program | 45 Upper College Rd, Kingston, RI 02881-2003 | 2020-06-19 |
| 1144843111 | Vahe Matnishian | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-05-25 |
| 1386265270 | Meea Yim | Student in an Organized Health Care Education/Training Program | 1 Family Practice Dr, Kingston, NY 12401-6449 | 2020-05-01 |
| 1881215135 | Aparna Panja | Student in an Organized Health Care Education/Training Program | 1 Family Practice Dr, Kingston, NY 12401-6449 | 2020-04-28 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on BRENNA GRACE MAYNARD.
| 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.