MRS. ELIZABETH M HALLSTROM (NPI# 1114233806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114233806 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH M HALLSTROM |
| Other Name | MS. ELIZABETH M HEINZER |
| Credential | FNP |
| Practice Address |
51 Long Wharf Mall Newport RI 02840-2906 |
| Practice Telephone | 4012391800 |
| Practice Fax Number | 4012391801 |
| Mailing Telephone | (401) 239-1800 |
| Mailing Fax Number | 4012391793 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN00059 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | RI LICENSE | APRN00059 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1524 Atwood Ave Ste 321, Johnston, RI 029193228 | 4012391800 | 4012391801 |
| 1525 Wampanoag Trl Ste 203, Riverside, RI 029151038 | 4012391800 | 4012391801 |
| Street Address |
51 LONG WHARF MALL |
| City | NEWPORT |
| State | RI |
| Zip Code | 02840-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700176849 | Aspire Dermatology LLC | Dermatology | 51 Long Wharf Mall, Newport, RI 02840-2906 | 2011-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993465 | Jacquelene Henderson | Counselor | 1341 West Main Road, Suite 16, Newport, RI 02840 | 2018-12-12 |
| 1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
| 1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
| 1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
| 1528200326 | Jessica Marie Welsh | Speech-Language Pathologist | 10 Friendship Street, Newport, RI 02840 | 2009-03-25 |
| 1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
| 1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
| 1235262346 | Jon E Brett | Psychologist | 37 Powel Avenue, Newport, RI 02840 | 2007-03-14 |
| 1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
| 1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
| Find all providers in zip 02840 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170922 | Katrina Marie Prive | Nurse Practitioner | 799 Salem View Heights, Newport, VT 05855 | 2020-10-08 |
| 1699328765 | Kristin Renae Hickman | Nurse Practitioner | 434 4th St Ste 310, Newport, TN 37821-3735 | 2019-07-18 |
| 1467919423 | Sara Gdowski | Nurse Practitioner | 9083 Maple Ridge Dr, Newport, MI 48166-9285 | 2019-02-26 |
| 1639633191 | Kristen Renae Tabor | Nurse Practitioner | 1532 Sherwood Dr, Newport, TN 37821-7124 | 2019-01-29 |
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1871097212 | Amanda Therese Wuebben | Nurse Practitioner | 4388 Partridge Ln, Newport, MI 48166-9189 | 2018-03-21 |
| 1497261093 | Tiffany Paige Holcomb | Nurse Practitioner | 300 Corrections Dr, Newport, AR 72112-8008 | 2017-12-18 |
| 1386165108 | Maureen Anne Burns | Nurse Practitioner | 612 Grandview Ave, Newport, KY 41071-2847 | 2017-07-01 |
| 1235684184 | Meghan Hart | Nurse Practitioner | 756 Cosby Hwy, Newport, TN 37821-3455 | 2016-08-22 |
| 1215329784 | Jessica Manning | Nurse Practitioner | 216 Hedrick Dr, C/o Cocke County High School, Newport, TN 37821-2906 | 2015-02-20 |
| Find all providers in NEWPORT | ||||
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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.