MRS. JENNIFER A UGBAH (NPI# 1043646128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043646128 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER A UGBAH |
| Credential | CNS |
| Practice Address |
308 Callahan Rd North Kingstown RI 02852-7739 |
| Mailing Address |
Po Box 312 Pascoag RI 02859-0312 |
| Practice Telephone | 4012959706 |
| Mailing Telephone | 4015670800 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
PPNS00114 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 Beechwood Ave, Pawtucket, RI 028605402 | 4017225573 |
| Street Address |
308 CALLAHAN RD |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-7739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535757 | Susan Elizabeth Taft | Family Medicine | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2005-08-22 |
| 1164893574 | Peter Wilkinson | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2015-10-12 |
| 1639562275 | Laura Snizek Ramirez | Physician Assistant | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2015-03-06 |
| 1225457666 | Rayne Kennelly | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2014-04-14 |
| 1518242460 | Nancy Adler Moye | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2011-10-11 |
| 1235453473 | Melissa B Graswald | Dentist | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2010-03-17 |
| 1508094608 | Teresa Jacob | Dentist | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2009-06-26 |
| 1730313180 | Virginia Pierce | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2009-05-13 |
| 1518185818 | Bayside Family Healthcare, Inc. | Clinic/Center | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2007-04-23 |
| 1285796037 | Jo Ann R. Stengel | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952484545 | Susanne G. Defedele | Clinical Nurse Specialist | 101 Higginson Ave, Suite 107 D, Lincoln, RI 02865-2732 | 2006-10-24 |
| 1487747341 | Linda Carter | Clinical Nurse Specialist | 55 South Angell St, Providence, RI 02906 | 2006-10-02 |
| 1669878401 | Michael Trazi | Clinical Nurse Specialist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2014-11-05 |
| 1598188732 | Michelle Lopes Alves | Clinical Nurse Specialist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2014-01-23 |
| 1881026052 | Tanya Lee Trazi | Clinical Nurse Specialist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2013-07-30 |
| 1114228681 | Francine Pingitore | Clinical Nurse Specialist | 593 Eddy St, Providence, RI 02903-4923 | 2010-11-15 |
| 1780610170 | Pamela J Plucinski | Clinical Nurse Specialist | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-25 |
| 1841235470 | Jennifer Kay Chace | Clinical Nurse Specialist | 1011 Veterans Memorial Pkwy, East Providence, RI 02915-5061 | 2006-06-18 |
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
Please comment or provide details below to improve the information on MRS. JENNIFER A UGBAH.
| 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.