Jessica C Douglas (NPI# 1043443385, PAC ID# 2466590070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043443385 |
| PAC ID by PECOS | 2466590070 |
| Professional Enrollment ID | I20091118000536 |
| Full Name | Jessica C Douglas |
| Organization Legal Name | THUNDERMIST HEALTH CENTER |
| Address |
186 Providence St West Warwick RI 02893-2508 |
| Phone Number | 4016152800 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557270477 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 186 Providence St, West Warwick, RI 02893-2508 | 4016152800 | THUNDERMIST HEALTH CENTER |
| 450 Clinton St, Woonsocket, RI 02895-3207 | 4017674100 | THUNDERMIST HEALTH CENTER |
| Organization Legal Name | THUNDERMIST HEALTH CENTER |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen A Chapian | Nurse Practitioner | Thundermist Health Center | 450 Clinton St, Woonsocket, RI 02895-3207 |
| Christine E Omerhi Pincince | Nurse Practitioner | Thundermist Health Center | 1 River St, Wakefield, RI 02879-3214 |
| Mara Bennink | Nurse Practitioner | Thundermist Health Center | 450 Clinton St, Woonsocket, RI 02895-3207 |
| Jenna E Foley | Nurse Practitioner | Thundermist Health Center | 450 Clinton St, Woonsocket, RI 02895-3207 |
| Leigh Dobbs | Nurse Practitioner | Thundermist Health Center | 450 Clinton St, Woonsocket, RI 02895-3207 |
| Sara E Delaporta | Family Medicine | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Richmond J Ramirez | Family Medicine | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Katrina D Sivo-souza | Nurse Practitioner | Thundermist Health Center | 450 Clinton St, Woonsocket, RI 02895-3207 |
| Elizabeth A Dasilva | Nurse Practitioner | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Erica A Fullerton | Certified Nurse Midwife (cnm) | Thundermist Health Center | 450 Clinton St, Woonsocket, RI 02895-3207 |
| Street Address |
186 PROVIDENCE ST |
| City | WEST WARWICK |
| State | RI |
| Zip | 02893-2508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara E Delaporta | Family Medicine | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Richmond J Ramirez | Family Medicine | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Elizabeth A Dasilva | Nurse Practitioner | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Arnold R Goldberg | Family Medicine | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Elizabeth A. Bellini | Nurse Practitioner | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Inna Ryvkin | Family Medicine | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Scott R Mcneill | Nurse Practitioner | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Crystal L Souza | Nurse Practitioner | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Noelle M Fiontella | Nurse Practitioner | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Danielle M Simmons | Nurse Practitioner | Thundermist Health Center | 186 Providence St, West Warwick, RI 02893-2508 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon L Wilson | Chiropractic | 66 Tanglewood Dr, West Warwick, RI 02893-2018 | |
| Stephen J D Amato | Emergency Medicine | 211 Quaker Ln, West Warwick, RI 02893-2151 | |
| Francis R. Sparadeo | Psychologist, Clinical | 211 Quaker Lane, West Warwick, RI 02893-2151 | |
| Dmitry Meyerson | Psychologist, Clinical | 211 Quaker Ln, Suite 102, West Warwick, RI 02893-2151 | |
| James E Frenier | Physician Assistant | Stephen J D'amato Md PC | 211 Quaker Ln, West Warwick, RI 02893-2151 |
| Alexander L Lubin | Urology | Roger Williams Radiation Therapy, LLC | 207 Quaker Ln, Fl 1, West Warwick, RI 02893-2179 |
| Atip Chatsudthipong | Urology | Roger Williams Radiation Therapy, LLC | 207 Quaker Ln, Fl 1, West Warwick, RI 02893-2179 |
| Gina M Digati | Certified Clinical Nurse Specialist (cns) | 310 Cowesett Ave, West Warwick, RI 02893-2221 | |
| Andrew T Crellin | Chiropractic | 328 Cowesett Ave, Suite 8, West Warwick, RI 02893-2248 | |
| Richard F Jardon | Chiropractic | 328 Cowesett Ave, Suite 8, West Warwick, RI 02893-2248 | |
| Find all physicians in zip 02893 | |||
| City | WEST WARWICK |
| Zip Code | 02893 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST WARWICK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica C Douglas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.