SARA CORNWELL LUNDBERG (NPI# 1144856063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144856063 |
Entity Type | Individual |
Full Name | SARA CORNWELL LUNDBERG |
Credential | FNP-C |
Practice Address |
29 Dighton Ave Portsmouth RI 02871-5512 |
Practice Telephone | 4017878791 |
Mailing Telephone | 4017878791 |
Enumeration Date | 2020-03-23 |
Last Update Date | 2020-09-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN02422 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
29 DIGHTON AVE |
City | PORTSMOUTH |
State | RI |
Zip Code | 02871-5512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487028783 | Jocelyn Arruda | Marriage & Family Therapist | 275 Mccorrie Lane, Portsmouth, RI 02871 | 2015-11-24 |
1841587417 | Visiting Nurse Services of Newport and Bristol Counties | Clinic/Center | 1184 East Main Road, Portsmouth, RI 02871 | 2011-07-05 |
1831483148 | James Patrick Nolan | Pathology | 150 Carnegie Harbor Drive, Portsmouth, RI 02871 | 2011-06-03 |
1720378623 | Thomas Francis Reitano | Pharmacist | 3034 East Main Rd, Portsmouth, RI 02871 | 2011-04-12 |
1063716793 | Amber Kaltenstein | Psychologist | 2820 E Main Rd, Portsmouth, RI 02871 | 2011-01-10 |
1760660773 | Susan Mandrachia Killebrew | Social Worker | 107 Clock Tower Square, Portsmouth, RI 02871 | 2008-02-01 |
1235348335 | East Bay Endoscopy Center LLC | Clinic/Center | 109 Clock Tower Square, Portsmouth, RI 02871 | 2007-05-22 |
1346369147 | Todd Matthew Carbone | Physical Therapy Assistant | 459 Wapping Rd, Portsmouth, RI 02871 | 2007-03-29 |
1952436032 | Newport County Regional Special Education | Local Education Agency (LEA) | Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 | 2007-02-22 |
1437292760 | Aquidneck Dental, Inc. | Dentist | 21 King Charles Drive, Portsmouth, RI 02871 | 2007-02-15 |
Find all providers in zip 02871 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494695 | Ashlei Parker | Nurse Practitioner | 102 Sawgrass Ln, Portsmouth, VA 23703-2284 | 2020-10-13 |
1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
1619597010 | Kelsey Louise Potter | Nurse Practitioner | 1911 High St, Portsmouth, OH 45662-3254 | 2020-04-26 |
1750914800 | Loyette Wong | Nurse Practitioner | 3235 Academy Ave Ste 305, Portsmouth, VA 23703-3200 | 2020-02-18 |
1356818876 | Sandie Katrina Elliott | Nurse Practitioner | 1 Crawford Pkwy Ste 1a, Portsmouth, VA 23704-2609 | 2018-11-02 |
1023585619 | Winter Marie Mcfarland | Nurse Practitioner | 1701 High St Ste 102, Portsmouth, VA 23704-2395 | 2018-11-01 |
1689177503 | Quickcarenp | Nurse Practitioner | 49 Prospect Parkway, Portsmouth, VA 23702 | 2018-03-16 |
1649788803 | Ashley Ann Rowland | Nurse Practitioner | 1729 Kinneys Ln Ste 202, Portsmouth, OH 45662-3167 | 2018-01-22 |
1508378894 | Caitlin Elizabeth Mullaney | Nurse Practitioner | 330 Borthwick Ave Ste 205, Portsmouth, NH 03801-7109 | 2017-10-26 |
1073025599 | Jennifer L Hodge | Nurse Practitioner | 2690 Elmhurst Ln, Portsmouth, VA 23701-2745 | 2017-10-25 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 02871 |
Please comment or provide details below to improve the information on SARA CORNWELL LUNDBERG.
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.